High-speed road accident of single light vehicle against plane tree, not wearing seatbelt.
Initial treatment by Fire Department, Glasgow = 10, obnubilation, both pupils non-reactive, unstable hemodynamics with blood pressure: 75/40,pulse: 110, responding to IV fluid therapy, no respiratory distress, and incarceration of both inferior extremities with open fracture of the right ankle requiring 45 min to be released.
1.5 liters IV fluids, intubation after rapid induction sequence, mechanical ventilation, sedation, reduction of fracture of right inferior extremity. Prophylactic antibiotics.Medical transport to university hospital.
The body scan is provided.