A
20-year-old woman presents to your facility as a trauma code. She was an
unrestrained passenger in a high-speed motor vehicle collision and was
ejected. She is awake and alert, complaining primarily of chest wall pain and
bilateral lower leg pain. Her medical history is unremarkable, and currently
all her vital signs are stable. Primary survey, including some preliminary
radiographs, shows numerous rib fractures and bilateral tibia and fibula
fractures.
On
secondary survey, you notice that both of her feet are moderately bruised and
swollen. The dorsum of the left foot is more tender than that of the right.
Good pulses are present, and the patient is able to wiggle her toes. A
radiograph of the left foot is shown.