Traumatic evisceration — DipIMC MCQ
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Correct answer: A — Cover the bowel with saline-moistened sterile dressings and prevent heat loss
Cover the bowel with saline-moistened sterile dressings and prevent heat loss is the best answer because eviscerated bowel should be protected, kept moist and not reduced in the field. Perform a full secondary survey before treating the abnormality is less appropriate because secondary survey follows correction of immediate life threats; Give a large crystalloid bolus before controlling the injury is less appropriate because fluid cannot replace early control of bleeding or ventilation problems. Delay intervention until arrival at hospital and Transport without treating the identified time-critical problem 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: JRCALC Guidelines; ATACC Manual