A 20-year-old man is brought from the operating room to the ICU following a damage-control operation for multiple gunshot wounds. The patient was reportedly unstable throughout the entire operation. The injuries included transection of the left superficial femoral artery (SFA) and multiple small bowel perforations. During the operation, the patient had three small bowel segments resected and had placement of a temporary intraluminal shunt in the SFA to control the bleeding and reestablish blood flow to his leg. When he arrived at the ICU, his temperature was 34.6° C, pulse rate was 128 beats/minute, and blood pressure was 90/70 mm Hg.
He is intubated and mechanically ventilated. The patient is bleeding externally from his wounds and multiple intravenous catheter sites. What's your diagnosis for this patient and the reason behind his current condition? (Answer is posted in the comment…
