Problem: Mr. Hutchinson, a middle-aged man, becomes a victim of a collision accident He is admitted in an unconscious state His right lower leg that was pinned beneath the bus for at least 30 min, is blanched, cold and without pulse He has compound fracture of the right tibia Blood pressure is 90/48; pulse 140/min an thready; patient diaphoretic (sweaty)
Q1. What is the condition of the tissues in the right lower leg?
Q2. Will the fracture be attended to, or will Mr. Hutchinson's other homeostatic needs take precedence? Explain.
Q3. What do you conclude regarding Mr. Hutchinson's cardiovascular measurements (pulse and BP)?
Q4. What measurements will be taken to remedy the situation before commencing surgery?