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Traumatic entrapment — DipIMC MCQ

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ModeratePre-Hospital Trauma ManagementTraumatic entrapmentDipIMC

A 54-year-old motorcyclist is trapped under a car. Fire service can lift the vehicle within minutes; he is conscious, hypotensive and has a crushed thigh. What is the most appropriate immediate action?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: B — Coordinate rapid extrication with catastrophic haemorrhage control and analgesia

A trapped trauma patient requires coordinated rescue, early haemorrhage control and analgesia while avoiding unnecessary delay. Large crystalloid resuscitation before haemorrhage control is not the priority. Unplanned movement creates risk to rescuers and patient. The pearl is that rescue and medicine must be integrated rather than sequential in immediate care.

Reference: ATACC; JRCALC Guidelines 2025