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Pelvic ring injury — DipIMC MCQ

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EasyTraumaPelvic ring injuryDipIMC

A 58-year-old pedestrian has been hit by a van. He has pelvic pain, leg-length asymmetry, a weak radial pulse and no major external bleeding. What is the most appropriate immediate action?

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

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Correct answer: A — Apply a pelvic binder at the level of the greater trochanters

Apply a pelvic binder at the level of the greater trochanters is the best answer because suspected unstable pelvic fracture with shock requires early circumferential compression. Give a large crystalloid bolus before controlling the injury is less appropriate because fluid cannot replace early control of bleeding or ventilation problems; Perform a full secondary survey before treating the abnormality is less appropriate because secondary survey follows correction of immediate life threats. Transport without treating the identified time-critical problem and Wait for imaging before intervening are also suboptimal because they move attention away from the key pre-hospital priority.. The key DipIMC principle is to treat immediate reversible threats, communicate clearly and move the patient toward the right definitive care.

Reference: NICE Major Trauma NG39; JRCALC Guidelines; ATACC Manual