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Pelvic fracture haemorrhage — RCPSC EM MCQ

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HardTraumaPelvic fracture haemorrhageRCPSC EM

A 42-year-old woman is brought after a rollover collision. Blood pressure is 76/42 mmHg, heart rate 138/min, pelvis is unstable, FAST is negative, and there is no external haemorrhage. Two large-bore IVs are placed. What is the most appropriate initial management?

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Correct answer: A — Pelvic binder plus balanced massive transfusion activation

Haemorrhagic shock with an unstable pelvis and negative FAST suggests pelvic bleeding. Early pelvic binding and balanced blood product resuscitation are priorities; CT waits until stabilization.

Reference: ATLS; Canadian trauma systems guidance