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What is the comprehensive management, including collaboration with interdisciplinary teams for A 57-year-old male presented with EMS after a motor vehicle accident. His PMH includes CAD s/p CABG x 3 (2 months ago) on Plavix; pAfib on Xarelto; HTN; HFrEF on spironolactone, Entresto, Farxiga, and metoprolol; and T2DM on metformin. EMS reported that the patient was the driver in a head-on collision with a speed estimated to be 50 mph, who was wearing a seat belt and had airbags deployed. There was prolonged extrication from the vehicle due to access. The patient was drowsy but would open his eyes to voice with stridor and blood coming from bilateral nares. No acute changes occurred en route to the hospital. On arrival, he is awake to verbal stimuli. Reporting neck, chest, abdominal, and left lower extremity pain. He has absent breath sounds to the left lung fields with stridor noted. Pulses are intact in all upper extremities and right lower extremity. The left lower extremity has bruising and diminished pulses with shortening of the limb. He has no signs of external bleeding. His abdomen is distended with ecchymosis to flank areas.
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