A 38-year-old male is involved in a motorcycle crash at 70 mph. He has a fractured pelvis and is haemodynamically unstable. The team applies a pelvic ...

Question

A 38-year-old male is involved in a motorcycle crash at 70 mph. He has a fractured pelvis and is haemodynamically unstable. The team applies a pelvic binder. Despite IV fluids and TXA, his blood pressure remains at 70/40 mmHg. What definitive intervention is most likely required?

Accepted Answer

Angiographic embolisation or pre-peritoneal packing at a major trauma centre - ongoing pelvic haemorrhage refractory to binder and resuscitation usually requires interventional radiology or surgical haemorrhage control

Answer

IV vasopressin infusion

Answer

A second pelvic binder applied on top of the first

Answer

Bilateral thoracostomies

Answer

Aortic cross-clamping at the scene

uk-dipimc MCQ (SBA): Refractory Pelvic Haemorrhage

A 38-year-old male is involved in a motorcycle crash at 70 mph. He has a fractured pelvis and is haemodynamically unstable. The team applies a pelvic binder. Despite IV fluids and TXA, his blood pressure remains at 70/40 mmHg. What definitive intervention is most likely required?