A car has struck a pedestrian at about 45 mph. While assessing the patient, you note bilateral tibia and fibula fractures. Which of the following best describes why the patient should be transported to a trauma center?
A) Pain from the fractures cannot be treated in the prehospital setting.
B) Other serious injuries are likely.
C) These fractures cannot be treated in a community hospital.
D) Fractures always require immediate surgery.

Question

Quizplus · Accepted Answer

Bilateral tibia and fibula fractures suggest a high-energy mechanism of injury, which puts the patient at risk for other serious injuries, such as internal bleeding, organ damage, or head injury. Transporting the patient to a trauma center with a higher level of care and resources can better address any potential life-threatening injuries. While pain management and definitive treatment for the fractures may also be necessary, they are not the primary reason for transport to a trauma center. Fractures do not always require immediate surgery and can be stabilized and managed initially in a community hospital.

A Car Has Struck a Pedestrian at About 45 Mph