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Pelvic fracture — DipIMC MCQ

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EasyPre-Hospital Trauma ManagementPelvic fractureDipIMC

A pedestrian struck by a van has pelvic pain, hypotension and no external bleeding. He is agitated and the rescue team is preparing to move him. 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 — Apply a purpose-made pelvic binder at the greater trochanters

Option B is correct because Suspected pelvic bleeding after high-energy blunt trauma should be treated early with a correctly positioned pelvic binder. Option A is less appropriate because oxygen may be supportive, but it does not address the defining time-critical problem first; option D is less appropriate because vascular access is useful, but it should not delay the immediate priority. Option E is less appropriate because it is plausible in a different scenario but suboptimal for the features described; option C is less appropriate because delay would increase clinical risk. 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