Open tibial fracture with absent pulse — DipIMC MCQ

Correct answer: E — Realign the limb gently, reassess pulses and splint

Realign the limb gently, reassess pulses and splint is the best answer because gross deformity with distal vascular compromise should be corrected gently and reassessed. Transport without treating the identified time-critical problem is less appropriate because movement alone may not reverse the immediate physiology; Delay intervention until arrival at hospital is less appropriate because delay is unsafe when a reversible pre-hospital threat is present. Wait for imaging before intervening and Give a large crystalloid bolus before controlling the injury 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; NICE Major Trauma NG39