Post-tourniquet triage — DipIMC MCQ

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EasyMajor IncidentsPost-tourniquet triageDipIMC

At a rural bus crash, a non-walking adult casualty has catastrophic arm bleeding controlled after a tourniquet. He is now conscious and breathing normally. What is the triage category?

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Correct answer: B — Priority 1 (red)

A patient requiring a lifesaving intervention for catastrophic bleeding is P1 even after bleeding is controlled. Downgrading immediately to P2 could delay definitive haemorrhage management and monitoring. P3 is not appropriate because he is non-walking and had a life-threatening injury. The pearl is that initial need for lifesaving intervention drives high priority.

Reference: NHS England MITT 2023; JRCALC Guidelines 2025