Wednesday, January 7, 2015

The answer is e.

Which of the following fractures is most likely to cause hypovolemic shock and life-threatening blood loss?

a. Femur
b. Spine
c. Tibia
d. Radius
e. Pelvis

The answer is e.  The greatest amount of blood loss generally occurs in fractures of the pelvis (retroperitoneal hemorrhage), followed by those of the femur and spine. Patients with pelvic
fractures should be evaluated for hypovolemic shock. Common manifestations include tachycardia, hypotension, oliguria, a clouded sensorium, and cool extremities.

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