Catastrophic haemorrhage triage — DipIMC MCQ

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EasyMajor IncidentsCatastrophic haemorrhage triageDipIMC

At a rail incident, an adult casualty has catastrophic thigh bleeding. He is not walking and is screaming for help; a responder can apply a tourniquet immediately. What is the triage category?

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Correct answer: E — Priority 1 (red)

Under MITT, catastrophic bleeding requires immediate haemorrhage control and triage as P1. Walking status is not assessed before treating catastrophic bleeding in the sequence. P2 and P3 would under-triage a patient needing a lifesaving intervention. The pearl is that triage and lifesaving interventions are linked, not separate administrative tasks.

Reference: NHS England Major Incident Triage Tool 2023; JRCALC Guidelines 2025