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Peri-arrest external haemorrhage — DipIMC MCQ

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EasyPre-Hospital Trauma ManagementPeri-arrest external haemorrhageDipIMC

A trapped driver has a weak carotid pulse, falling consciousness and major bleeding from a forearm wound. Extrication will take 15 minutes. What is the most appropriate immediate action?

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

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Correct answer: CControl external haemorrhage immediately while coordinating rapid extrication

Option C is correct because Catastrophic haemorrhage control precedes other survey steps and should occur alongside rescue planning. Option E is less appropriate because oxygen may be supportive, but it does not address the defining time-critical problem first; option A is less appropriate because vascular access is useful, but it should not delay the immediate priority. 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 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: ATACC Manual; JRCALC Guidelines