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Malpositioned pelvic binder — DipIMC MCQ

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ModeratePre-Hospital Trauma ManagementMalpositioned pelvic binderDipIMC

A 27-year-old cyclist is hit by a car and complains of severe pelvic pain. The first crew has applied a pelvic binder, but it is visibly over the abdomen at umbilical level. What is the most appropriate management?

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

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Correct answer: C — Reposition the binder to the greater trochanters while maintaining haemorrhage precautions

A pelvic binder positioned too high may fail to reduce pelvic volume and can worsen abdominal pressure without stabilising the pelvis. The correct location is around the greater trochanters. Pelvic springing is painful, unreliable and may disrupt clot. The pearl is to check binder position during every major trauma handover.

Reference: NICE Major Trauma NG39; JRCALC Guidelines 2025