Penetrating chest haemorrhage — DipIMC MCQ

Correct answer: E — Apply direct pressure around the wound while preparing chest injury management

Apply direct pressure around the wound while preparing chest injury management is the best answer because visible major bleeding should be controlled immediately while assessing for intrathoracic injury. Transport without treating the identified time-critical problem is less appropriate because movement alone may not reverse the immediate physiology; Perform a full secondary survey before treating the abnormality is less appropriate because secondary survey follows correction of immediate life threats. Delay intervention until arrival at hospital 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; ATACC Manual