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Bilateral femur fractures — DipIMC MCQ

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ModeratePre-Hospital Trauma ManagementBilateral femur fracturesDipIMC

A 55-year-old man has fallen from a roof and is cold, pale and tachycardic. He has suspected bilateral femur fractures and a systolic pressure of 88 mmHg. What is the most appropriate management?

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Correct answer: E — Control haemorrhage, splint both limbs, minimise heat loss and pre-alert major trauma

Bilateral femur fractures can cause substantial occult blood loss and severe pain. Splinting, haemorrhage control, warming and pre-alert support early damage-control resuscitation. Prolonged exposure worsens hypothermia, coagulopathy and acidosis. The pearl is that fracture splinting is part of haemorrhage control, not just comfort care.

Reference: JRCALC Guidelines 2025; NICE Major Trauma NG39