A 30 year old Thai worker was involved in Road Traffic Accident along Jalan Telanai which involved 3 other vehicle. He was unrestrained driver and was under the influence of alcohol. When the paramedics arrived on the scene, it took 20 minutes to free the patient from the vehicle.
Upon arrival to the A&E at RIPAS he was agitated and confused. His BP was 80/40 and pulse 120. He had deep laceration on the occiput, bruising around the flank and an open fracture dislocation of the ankle. There was some movement of both his upper limbs, but he was not moving his lower limbs.
After primary survey was done the trauma panel x-rays revealed this x-ray.Question:
1. Give two abnormality on this x-ray?
2. How does it correlate with the clinical findings?
3. After stabilizing his vitals, what would be your next investigation of choice?
