A 25-year-old soldier is injured by an improvised explosive device. He has bilateral traumatic above-knee amputations with active haemorrhage, a GCS o...

Question

A 25-year-old soldier is injured by an improvised explosive device. He has bilateral traumatic above-knee amputations with active haemorrhage, a GCS of 15, and is shouting for help. His heart rate is 135 bpm and blood pressure is 80/50 mmHg. Following bilateral tourniquet application, what is the next priority?

Accepted Answer

Administer 1 g tranexamic acid IV

Answer

Administer intranasal ketamine for analgesia

Answer

Perform a primary survey ABCDE assessment

Answer

Establish two large-bore IV cannulae and give 250 mL 0.9% saline bolus

Answer

Call for HEMS and prepare for helicopter evacuation

uk-dipimc MCQ (SBA): Blast Injury and Haemorrhage