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Paediatric major trauma pelvic injury — DipIMC MCQ

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ModeratePre-Hospital Trauma ManagementPaediatric major trauma pelvic injuryDipIMC

A 9-year-old has been hit by a car and is pale, tachycardic and complaining of pelvic and abdominal pain. No external bleeding is visible. 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 size-appropriate pelvic binder and minimise movement

Option B is correct because Children can compensate until late shock, and suspected pelvic bleeding after high-energy trauma should be stabilised early. 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