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Unstable pelvic fracture — RCPSC EM MCQ

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ModerateTraumaUnstable pelvic fractureRCPSC EM

A 34-year-old pedestrian is struck by a truck. BP is 82/50 mmHg, HR 132/min, pelvis is unstable to gentle compression, and FAST is negative. The trauma team has started balanced transfusion. What is the most appropriate next step?

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

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Correct answer: A — Apply a pelvic binder at the greater trochanters and activate pelvic haemorrhage control

Apply a pelvic binder at the greater trochanters and activate pelvic haemorrhage control is correct: the clues indicate Unstable pelvic fracture and this option addresses the immediate ED priority. The distractors delay care, target a less likely problem, or are unsafe in this physiology.

Reference: ATLS principles; Canadian trauma practice