Shock

A 22 year old male motorcyclist is involved in a accident. He arrives in the ER intubated and hypotensive. His blood pressure is 82/40, minimal urinary output, heart rate 130, fractured left acetabulum, fractured left femur, flail chest on the right, normal cardiac silhouette, grade 2 liver laceration. His hemoglobin is 9.2g/L, creatinine 1.6, and creatine kinase 1084, MB 15%. ECG: ST segment elevation along anterior leads.

What is the diagnosis, and how would you manage this patient?

Copyright 2002 All rights reserved