You and your partner are assigned to a post at an extreme sports competition. You are called to assess a 23-year-old man who was performing a midair trick on his bike when He lost control and landed on the bottom of the concrete ramp. When you arrive on scene, the patient is awake and alert and in extreme pain. He tells you that he flew over His handlebars and felt both of his upper legs snap. He denies experiencing any loss of consciousness.