رجل عمره ٢٨ سنة بعد حادث دراجة نارية بكسر في الحوض، الضغط ٨٤/٥٠، والنبض ١٣٢، وجلده بارد. لا يوجد نزيف ظاهر. ما الأرجح؟

A 28-year-old with a pelvic fracture after a motorbike crash has BP 84/50, HR 132 and cold skin, with no visible bleeding. What is most likely?

1. Haemorrhagic shock from pelvic bleeding
2. A fear reaction only
3. Dehydration from not eating
4. Severe pain causing mild hypotension

Answer: A) Haemorrhagic shock from pelvic bleeding. Pelvic fractures can bleed heavily internally; hypotension and tachycardia indicate shock. Give blood, apply a pelvic binder and escalate.