skip to main content

Open book pelvic fracture — ACEM Fellowship MCQ

Instant feedback + full explanation. One question, done properly.

HardTraumaOpen book pelvic fractureACEM Fellowship

A 39-year-old pedestrian is brought to a Melbourne ED, triage category 1, after being struck by a truck. BP 76/42, HR 140, pelvis is unstable and perineal bruising is present. FAST is negative, lactate is 6.2 mmol/L and pelvic X-ray shows pubic symphysis diastasis. What is the most appropriate management?

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

Reveal the answer and explanation

Correct answer: D — Apply pelvic binder and activate massive transfusion

Pelvic instability with shock and negative FAST suggests pelvic haemorrhage; binder and massive transfusion are immediate priorities.

Reference: ACEM trauma curriculum; ATLS pelvic trauma