Trapped trauma analgesia — DipIMC MCQ

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ModerateResuscitationTrapped trauma analgesiaDipIMC

A man with bilateral femoral fractures is trapped and in severe pain. He is hypotensive but conscious and a critical care clinician is considering analgesia. What is the most appropriate drug/dose?

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Correct answer: D — Use carefully titrated ketamine or opioid analgesia with monitoring

Option D is correct because Severe trauma pain should be treated with titrated agents appropriate to physiology and monitoring. Option B is less appropriate because that dose is an ALS cardiac-arrest dose and is unsafe for this non-arrest indication; option E is less appropriate because aspirin is useful in ACS but inappropriate for this presentation. Option C is less appropriate because untitrated opioid dosing can cause avoidable hypotension or respiratory depression; option A is less appropriate because steroids have delayed onset and should not replace the immediate treatment. Clinical pearl: in DipIMC-style questions, the best answer is the intervention that changes outcome earliest in the pre-hospital phase.

Reference: ATACC Manual; JRCALC Guidelines