skip to main content

Acute limb ischaemia after splinting — DipIMC MCQ

Instant feedback + full explanation. One question, done properly.

HardPre-Hospital Trauma ManagementAcute limb ischaemia after splintingDipIMC

A 56-year-old motorcyclist has a closed tibia and fibula deformity. After analgesia and splinting his foot becomes increasingly pale with worsening pain and paraesthesia. What is the most appropriate management?

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

Reveal the answer and explanation

Correct answer: B — Reassess splint position, loosen constriction and seek urgent limb-saving transfer

Worsening pain, pallor and paraesthesia after splinting suggests vascular compromise or compartment syndrome. Constrictive dressings or splints should be adjusted, and urgent transfer is needed. Further opioid alone may mask deterioration without treating the cause. The pearl is that neurovascular observations are dynamic and must be repeated after every intervention.

Reference: JRCALC Guidelines 2025; NICE Complex Fractures NG37