Right lower leg Fx

[Sdiver]

Not to be a ghoul, but with a lot of this same type of injury seen in Boston, thought I'd bring this over here. Although the MOI is vastly different, the injury is somewhat similar.

26 year old Male at a party at a creek up in the mountains. Patient has consumed 12-14 beers and smoked liberal amount of recreational drugs. On a dare, decided to jump off the creek bridge into the water below. Due to a recent dry spell the water was only 1 foot deep. 12-15 foot drop.
Bystanders deny LOC due to the screams after the fall. You arrive to find several other equally intoxicated bystanders holding patient down as he is yelling and screaming. PD arrives and wrangles all the drunks up.

SCENE IS SECURE.

Patient complaining of right lower leg pain, and pain to left ankle and bilateral arms. Unable to answer regarding neck or back pain and just screams “My leg hurts”

PMHX – ETOH Abuse, Asthma
MEDS- Albuterol
ALL- Sulfa, Codeine

BP- 72/42
HR – 128 regular
RR- 22 Non Labored
HEENT – Pupils 4mm sluggish, abrasions to forehead
Neck- No crep or deformity
Chest- Intact, Bruising and abrasions to right mid axillary
Abd- Soft NT/ND, No obv trauma
PEL- Intact
Extrem- Open FX to right lower, unable to find pulse in foot, + sensory, grips good
Neuro- other than above intact.

You are up in the mountains. Drive time to Level I trauma center 75 minutes.
Helo is available .... 12 minute spool up time, with 35 minute flight time to LZ set up by PD.
LZ is 10 minute drive time from POI.

What is your treatment going to be?
How will you immob this?
Any Special Considerations or concerns?