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Traumatic limb haemorrhage — ACEM Fellowship MCQ

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ModerateTraumaTraumatic limb haemorrhageACEM Fellowship

A 36-year-old deckhand arrives at a Darwin ED, triage category 1, after a boat propeller injury. BP 84/46, HR 138. There is pulsatile bleeding from a mangled thigh wound and direct pressure by paramedics is failing. What is the most important immediate action?

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

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Correct answer: A — Apply a proximal arterial tourniquet

Life-threatening extremity haemorrhage not controlled by pressure requires a proximal arterial tourniquet while resuscitation continues.

Reference: ANZCOR first aid bleeding guidance; trauma resuscitation principles