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Ya, she could have had a subararachnid bleed or something. Also something called neurogenic shock if she had a spinal injury. I've seen people lose a lot of blood and be ok (e.g. dude on heparin drip ripped out his Foley and I found him in bed with pool of blood damn near up to knees) . The...

Curious as to causes of death as it should be hard to go from alert and oriented, open fracture below knee with tourniquet applied.... to dead.