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Junctional groin haemorrhage — DipIMC MCQ

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

ModeratePre-Hospital Trauma ManagementJunctional groin haemorrhageDipIMC

A 22-year-old man has a deep groin stab wound outside a nightclub. Direct pressure slows but does not stop the bleeding, and the wound is too proximal for a standard limb tourniquet. What is the most appropriate management?

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

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Correct answer: A — Pack the wound firmly with haemostatic gauze and sustained pressure

Option A is correct because Junctional haemorrhage is best controlled with wound packing and sustained direct pressure when a tourniquet cannot be applied effectively. Option E is less appropriate because watchful waiting risks deterioration or delays definitive care; option C is less appropriate because the clinical risk exceeds that destination or timeframe. Option B is less appropriate because it is plausible in a different scenario but suboptimal for the features described; option D is less appropriate because analgesia is important but not sufficient as the primary intervention. Clinical pearl: in DipIMC-style questions, the best answer is the intervention that changes outcome earliest in the pre-hospital phase.

Reference: NICE Major Trauma NG39; JRCALC Guidelines