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Paediatric blunt abdominal trauma — DipIMC MCQ

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ModeratePaediatric and Obstetric EmergenciesPaediatric blunt abdominal traumaDipIMC

A 9-year-old child falls from a tree and has abdominal pain, pallor and a pulse of 140. Peripheral cannulation is difficult and transport time is 35 minutes. What is the most appropriate management?

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Correct answer: E — Consider early intra-osseous access if IV access fails and shock persists

A shocked injured child with difficult IV access may need early IO access, particularly if treatment is required before or during transfer. Delaying transfer solely for repeated cannulation is unsafe. Oral fluids are inappropriate in possible intra-abdominal injury and shock. The pearl is that children maintain blood pressure until late, so tachycardia and pallor matter.

Reference: NICE Major Trauma NG39; Resuscitation Council UK Paediatric Guidelines 2025