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Pelvic fracture haemorrhage — RCPSC EM MCQ

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HardTraumaPelvic fracture haemorrhageRCPSC EM

CTAS 1. EMS brings a 28-year-old after a motorcycle crash. BP is 76/40 mmHg, HR 142, pelvis is unstable, and FAST is negative. There is blood at the urethral meatus and lactate is 6.2 mmol/L. Two large-bore IVs are in place. What is the most appropriate initial management?

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Correct answer: E — Pelvic binder and massive transfusion activation

An unstable pelvic fracture with shock requires early pelvic binding and haemorrhage resuscitation; urethral injury signs make blind Foley placement inappropriate.

Reference: ATLS Student Course Manual; Canadian trauma system resources