A 7-year-old is hit by a van and has a deformed painful thigh, pulse 150/min, capillary refill 4 seconds and systolic blood pressure 84 mmHg. He is

Question

A 7-year-old is hit by a van and has a deformed painful thigh, pulse 150/min, capillary refill 4 seconds and systolic blood pressure 84 mmHg. He is alert but pale after oxygen and splintage; the paediatric major trauma centre is 24 minutes away, the local emergency department is 9 minutes away. What is the most appropriate immediate action?

Accepted Answer

Pre-alert and convey to the paediatric major trauma centre

Answer

Ask police to transport because it is the nearest vehicle

Answer

Delay transport for complete analgesia and repeated observations

Answer

Convey to the local emergency department because hypotension is present

Answer

Use the local minor injuries unit for radiography and splinting

Paediatric femoral fracture with shock — DipIMC MCQ