Exsanguinating hemorrhage is most likely to follow which of the following injuries in a previously healing young adult?
|A||Closed fracture of femur|
|B||Open facture of tibio and fibula|
|C||Partial transection of the artery from sharp injury.|
|D||Severe crush injury of the foot.|
a. If one artery is partially transected, complete constriction of injured arterial ends is not possible, and spontaneous cessation of bleeding doesn’t occurs.
b. In case of closed fracture of femur , there is a considerable soft tissue compoartment available for development of a haematoma and continuos exsanguiation and blood loss can approximate around 1500 to 2000ml.
c. In crush injury to the limb , there is persistent bleeding from multiple injuries to multiple blood vessels leading to exsanguition.