A 54-year-old farm worker has a mangled lower leg after machinery entrapment. Bright red bleeding continues despite direct pressure, he is clammy,

Question

A 54-year-old farm worker has a mangled lower leg after machinery entrapment. Bright red bleeding continues despite direct pressure, he is clammy, pulse 132/min and systolic blood pressure is 90 mmHg. What is the most appropriate immediate action?

Accepted Answer

Apply a tourniquet proximal to the wound and tighten until bleeding stops

Answer

Apply a loose tourniquet and check distal capillary refill

Answer

Elevate the limb and continue direct pressure alone

Answer

Pack the wound with gauze and delay tourniquet use

Answer

Apply a pressure dressing and reassess after transport

Catastrophic limb haemorrhage — DipIMC MCQ

A 54-year-old farm worker has a mangled lower leg after machinery entrapment. Bright red bleeding continues despite direct pressure, he is clammy, pulse 132/min and systolic blood pressure is 90 mmHg. What is the most appropriate immediate action?