Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with clinical triad of respiratory distress, neurological impairment, and petechial rash following long bone fracture/orthopedic trauma. Onset [Time] post-injury. Symptoms include dyspnea, tachypnea, confusion, and agitation. Denies prior history of coagulopathy or pulmonary embolism.
Clinical Examination Findings
Vitals: Tachypneic (RR > 20), Tachycardic, Hypoxic (SpO2 < 90% on RA). Skin: Petechial rash noted on axilla, chest, and conjunctiva. Neuro: Altered mental status, GCS [Score], focal deficits absent. Respiratory: Bilateral crackles on auscultation. Cardiovascular: S1/S2 regular, no murmurs.
Treatment Protocol
Immediate stabilization: Supplemental O2/Mechanical ventilation as indicated. Aggressive fluid resuscitation to maintain hemodynamic stability. Early surgical stabilization of fractures. Prophylactic corticosteroids (controversial) or albumin infusion considered per institutional protocol. Monitor ABG, CBC, and coagulation profile.