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Pelvic ring fracture with haemorrhagic shock — RCPSC EM MCQ

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HardTraumaPelvic ring fracture with haemorrhagic shockRCPSC EM

CTAS 1: A 28-year-old motorcyclist arrives after a high-speed collision. Vitals are BP 76/44, HR 136, RR 28, SpO2 96% on oxygen. Pelvis is unstable on initial assessment and FAST is negative. Two large-bore IVs are running and massive transfusion has been activated. What is the most appropriate next step?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: A — Apply a pelvic binder at the greater trochanters

An unstable pelvic ring can bleed massively. Early binder placement at the greater trochanters reduces pelvic volume and is a priority with blood product resuscitation.

Reference: ATLS; Canadian trauma practice; Royal College EM Objectives