Figure 1 : Left lower limb X-Ray showing closed long bone
fracture of the tibia and fibula: AP View
General examination at presentation to Emergency Medical Services
revealed mild pallor. He was conscious but not oriented. The pulse rate
was 110 beats/min, the respiratory rate was 30 beats/min, blood pressure
was 100/60 mmHg, and random blood sugar was 74 mg%. He had tachypnea
and mild tachycardia and developed oxygen desaturation (O2 of 88%). The
Thoracic Computed tomography (CT) findings showed diffuse bilateral
pulmonary infiltrates comprising consolidations and ground-glass
opacities. (Fig.2) He was sedated and intubated with subsequently
transferred to the intensive care unit.