A 50-year-old woman is airlifted to your facility from the scene of an accident. She was riding a motorcycle that was struck by a car at a presumed high rate of speed. There was reportedly a brief loss of consciousness, although when the first responders arrived, the patient was complaining of pain in both her hands and wrists, as well as severe hip pain.
The patient was hemodynamically stable during transport. Blood pressure on arrival is 130/78 mm Hg, with a heart rate of 90 beats/min. Her O2 saturation is 97% with supplemental oxygen administered by nasal cannula.
As you begin your primary survey, the patient responds appropriately to you: She tells you her name and where she is from. Her medical history is significant for migraines, and her surgical history is significant for a prior cholecystectomy and tubal ligation. Primary exam overall appears normal, except for obvious deformities in both wrists.
As you begin your secondary survey, the radiology technicians obtain portable chest and pelvis radiographs (latter shown). What is your impression?
