Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents following high-energy trauma to the right lower extremity. Reports severe pain, inability to bear weight, and visible deformity of the right thigh. No associated open wounds, active bleeding, or distal neurovascular deficits noted at the scene.
Clinical Examination Findings
Right thigh demonstrates significant swelling, ecchymosis, and palpable deformity at the midshaft. Distal pulses (dorsalis pedis and posterior tibial) are 2+ and symmetric. Capillary refill is <2 seconds. Sensation intact to light touch in all dermatomes. Motor function intact in distal muscle groups. No skin tenting or open wounds identified.
Treatment Protocol
Immediate immobilization with traction splinting applied. Intravenous analgesia administered. Radiographic imaging confirms closed midshaft femoral fracture. Orthopedic consultation obtained for intramedullary nailing. NPO status initiated in anticipation of surgical intervention.