A 22 yo hiker is seen in the ED, 48 hours after he was lost in a severe snowstorm. He is alert and the vital signs are stable. Exam of his feet is shown below. His pulses are not palpable. He is administered pain medications and placed in a warm tent. What is the next step in his management?
a. Bedside debridement
b. Immediate fasciotomy
c. Intravenous heparin
d. Angiogram
e. Vasodilator therapy
f. Warm IV fluids
No comments:
Post a Comment