A 62-year-old man with a chainsaw injury has catastrophic forearm bleeding. After a tourniquet is applied correctly, he remains pale and confused

Question

A 62-year-old man with a chainsaw injury has catastrophic forearm bleeding. After a tourniquet is applied correctly, he remains pale and confused with a weak central pulse. What is the most appropriate management?

Accepted Answer

Continue  ABCDE assessment, seek further bleeding sources and expedite transfer

Answer

Focus on dressing the wound cosmetically before transfer

Answer

Remove the tourniquet because shock should now have resolved

Answer

Wait on scene until distal capillary refill returns

Answer

Give oral glucose because confusion implies hypoglycaemia

Post-tourniquet traumatic shock — DipIMC MCQ

A 62-year-old man with a chainsaw injury has catastrophic forearm bleeding. After a tourniquet is applied correctly, he remains pale and confused with a weak central pulse. What is the most appropriate management?