Triage after tourniquet — DipIMC MCQ

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ModerateMajor Incident ManagementTriage after tourniquetDipIMC

A blast casualty had catastrophic leg bleeding controlled with a tourniquet. He is now not walking, breathing 24/min, has a radial pulse and obeys commands. What is the triage category?

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Correct answer: D — Priority 2

Priority 2 is the best answer because after a lifesaving haemorrhage intervention, stable basic physiology places him in an urgent rather than immediate group. Priority 1 is less appropriate because Priority 1 indicates immediate life-saving treatment or evacuation; Untriaged is less appropriate because leaving the casualty untriaged undermines casualty flow and command. Dead and Priority 3 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