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.