A 67-year-old female pedestrian is struck by a car at 40 mph. She has a suspected unstable pelvic fracture with significant blood loss. Heart rate is ...

Question

A 67-year-old female pedestrian is struck by a car at 40 mph. She has a suspected unstable pelvic fracture with significant blood loss. Heart rate is 140 bpm, blood pressure is 62/38 mmHg, and she is confused. In addition to applying a pelvic binder, which of the following is the most important adjunct in her pre-hospital management?

Accepted Answer

Intravenous tranexamic acid 1 g over 10 minutes

Answer

Bilateral femoral nerve blocks for analgesia

Answer

Aggressive crystalloid fluid resuscitation with 2 litres of normal saline

Answer

Pneumatic anti-shock garment (PASG) application

Answer

Intraosseous adrenaline 1 mg

uk-dipimc MCQ (SBA): Pelvic Fracture and Haemorrhage Control