A 24-year-old male has sustained a fall from a two-story building and presents with severe pain, obvious deformity, and swelling in his right lower leg. Pulses are weak in the extremity. What is your first priority in managing this patient's injury?
Apply ice packs to the affected area to reduce swelling.
Apply a splint to immobilize the leg and reassess distal pulses.
Administer pain medication to alleviate severe pain.
Elevate the injured leg above the level of the heart.
The first priority in managing a potentially severe extremity injury with signs of compromised circulation is to ensure adequate blood perfusion. Applying a splint helps immobilize the fracture and may prevent further damage to vessels and nerves. While other measures such as administering pain medication, applying ice, and elevating the limb are also important, they do not address the immediate risk of compromised circulation.
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