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Major trauma haemorrhage — DipIMC MCQ

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HardPre-Hospital Trauma ManagementMajor trauma haemorrhageDipIMC

An adult struck by a vehicle is hypotensive after blunt high-energy pelvic trauma, with pelvic pain and suspected active bleeding. Which mechanical haemorrhage intervention is indicated in the pre-hospital phase?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: DApply a purpose-made pelvic binder centred over the greater trochanters

The best answer is “Apply a purpose-made pelvic binder centred over the greater trochanters”. NICE recommends a purpose-made pelvic binder when active bleeding is suspected from a pelvic fracture after blunt high-energy trauma. Correct placement is centred over the greater trochanters to reduce and stabilise the pelvic ring; iliac-crest placement is too high. Binding complements haemorrhage resuscitation and urgent trauma-centre transfer and should not be replaced by limb tourniquets or traction.

Reference: NICE NG39, Major trauma: https://www.nice.org.uk/guidance/ng39/chapter/recommendations