What is the most appropriate initial intervention


Problem: An adult patient is brought to the emergency department, following a vehicle rollover with prolong extrication. Assessment reveals swelling and bruising to the right, proximal thigh and a weak pedal pulse. Skin is pale, cool, and moist. What is the most appropriate initial intervention? Application of a tourniquet to the affected extremity, application of a traction splint to the affected extremity, fluid resuscitation, to maintain a urine output, or oxygen to maintain the ETCO to Between 30 to 3 5MM?

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