A motorcyclist is thrown from his bike in a high-speed collision. He has a deep open wound high in the right groin at the crease, with brisk arterial

Question

A motorcyclist is thrown from his bike in a high-speed collision. He has a deep open wound high in the right groin at the crease, with brisk arterial bleeding. A windlass tourniquet has been applied as high as possible on the thigh but bright bleeding continues from the wound itself.

Accepted Answer

Pack the wound firmly with haemostatic gauze and apply sustained direct pressure

Answer

Apply a pelvic binder at the level of the iliac crests

Answer

Elevate the limb above the level of the heart

Answer

Tighten the existing thigh tourniquet by several further turns

Answer

Apply a second tourniquet immediately distal to the first

Catastrophic external haemorrhage (junctional) — DIPIMC MCQ

A motorcyclist is thrown from his bike in a high-speed collision. He has a deep open wound high in the right groin at the crease, with brisk arterial bleeding. A windlass tourniquet has been applied as high as possible on the thigh but bright bleeding continues from the wound itself.