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Abdominal evisceration — DipIMC MCQ

Instant feedback + full explanation. One question, done properly.

ModeratePre-Hospital Trauma ManagementAbdominal eviscerationDipIMC

A 36-year-old man has a penetrating wound to the abdomen after an assault. Loops of bowel are visible, he is conscious and his radial pulse is weak. What is the most appropriate management?

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

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Correct answer: D — Cover the bowel with warm moist sterile dressings and expedite transfer

Eviscerated bowel should be covered with warm moist sterile dressings, protected from heat loss and drying, and the patient transferred rapidly. Attempting to replace bowel can worsen contamination and injury. Tight compression may damage bowel and does not control the underlying injury. The pearl is that exposure and environment are active parts of trauma care, not afterthoughts.

Reference: JRCALC Guidelines 2025; ATACC