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Pelvic fracture haemorrhage — RCPSC EM MCQ

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HardTraumaPelvic fracture haemorrhageRCPSC EM

A 26-year-old is brought after a high-speed collision. He is confused, pale, BP 78/46, HR 136, pelvis unstable on gentle compression, FAST negative, and chest X-ray shows no haemothorax. What is the most appropriate next step?

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

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Correct answer: AApply a pelvic binder at the greater trochanters and activate massive haemorrhage protocol

An unstable pelvic ring injury with shock and negative FAST should prompt immediate pelvic stabilisation and haemorrhage control with balanced blood product resuscitation.

Reference: ATLS principles adapted to Canadian trauma systems