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Pelvic Fracture Binder Application — FRCA Final MCQ

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ModerateTrauma & Emergency AnaesthesiaPelvic Fracture Binder ApplicationFRCA Final

A patient with an open book pelvic fracture and haemodynamic instability is in the ED. What is the most appropriate initial haemorrhage control measure?

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Correct answer: D — Pelvic binder application

Open book pelvic fracture with instability: immediate pelvic binder (circumferential compression) reduces pelvic volume, tamponades venous bleeding, and stabilises bony fragments. Applied in ED within minutes. External fixation is definitive but takes longer. Angiographic embolisation for arterial bleeders not controlled by binder.

Reference: NICE – 2023 – NG39 Major trauma; BOAST – 2023 – Pelvic fracture management