Catastrophic haemorrhage in triage — DipIMC MCQ
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Correct answer: C — Apply a tourniquet as a lifesaving intervention before continuing triage
Apply a tourniquet as a lifesaving intervention before continuing triage is the best answer because catastrophic haemorrhage control is performed immediately during triage because it is rapidly fatal and reversible. Give a large crystalloid bolus before controlling the injury is less appropriate because fluid cannot replace early control of bleeding or ventilation problems; 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 and Delay intervention until arrival at hospital 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: MIMMS Major Incident Medical Management and Support; NHS England Major Incident Triage Tool; JRCALC Guidelines