Open fracture triage — DipIMC MCQ

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ModerateMajor IncidentsOpen fracture triageDipIMC

At a motorway pile-up, a non-walking adult is breathing normally, responds to voice and has a controlled open forearm fracture. There is no catastrophic bleeding. What is the triage category?

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Correct answer: B — Priority 2 (yellow)

A non-walking casualty without P1 physiological features but requiring care is generally P2 in the MITT pathway. He is not P3 because he cannot walk. Controlled limb injury without abnormal physiology is not P1. The pearl is to avoid upgrading every dramatic-looking fracture to red when physiology is stable.

Reference: NHS England MITT 2023; JRCALC Guidelines 2025