A 28-year-old man is working at an appliance warehouse when a 300-lb washing machine falls off a hydraulic lift and lands on his left leg. It takes several minutes for his co-workers to free him. He is taken to the emergency department, where radiographs
6
votes
A. Apply an external fixator and send the patient for an arteriogram
B. Immediate surgical fasciotomy and open reduction and internal fixation
C. Immediate surgical escharotomy
D. Examine every 2 hours overnight and operate if pulses weaken
E. Doppler ultrasound of the left leg