<prompt> Please answer with one of the option in the bracket. Write reasoning in between . Write answer in between .Q:A 23-year-old patient presents to the emergency department after a motor vehicle accident. The patient was an unrestrained driver involved in a head-on collision. The patient is heavily intoxicated on what he claims is only alcohol. An initial trauma assessment is performed, and is notable for significant bruising of the right forearm. The patient is in the trauma bay, and complains of severe pain in his right forearm. A physical exam is performed and is notable for pallor, decreased sensation, and cool temperature of the skin of the right forearm. Pain is elicited upon passive movement of the right forearm and digits. A thready radial pulse is palpable. A FAST exam is performed, and is negative for signs of internal bleeding. The patients temperature is 99.5F 37.5C, pulse is 100min, blood pressure is 11070 mmHg, respirations are 12min, and oxygen saturation is 98 on room air. Radiography of the right forearm is ordered. The patient is still heavily intoxicated. Which of the following is the best next step in management?? A: Detoxification, B: IV fluids, C: Analgesics, D: Fasciotomy, E: Pressure measurement,  <response>: This is a question about the management of a patient with a likely compartment syndrome of the right forearm after a motor vehicle accident. The key findings are significant bruising, pain, pallor, decreased sensation, and cool temperature of the right forearm, as well as pain with passive movement of the forearm and digits. These findings are concerning for compartment syndrome, which is a surgical emergency requiring prompt fasciotomy to relieve pressure and restore blood flow. The patient is intoxicated, which can mask the severity of pain, so clinical findings are critical. IV fluids and analgesics may provide temporary relief but will not address the underlying issue. Detoxification is not an urgent priority. Measuring compartment pressures can help confirm the diagnosis but should not delay definitive treatment with fasciotomy if the clinical suspicion is high.D: Fasciotomy 