Pre-hospital transfusion in haemorrhagic shock — DIPIMC MCQ

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

HardRetrieval and TransportPre-hospital transfusion in haemorrhagic shockDIPIMC DipIMC

A patient with penetrating torso trauma is in Class III to IV haemorrhagic shock during a prolonged transfer. The enhanced-care team carry packed red cells.

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

Reveal the answer and explanation

Correct answer: D — Transfuse blood components rather than large-volume crystalloid

Explanation lettering: D = shown as B · B = shown as C · E = shown as D · C = shown as E

In major haemorrhage, blood components are preferred over large-volume crystalloid, which dilutes clotting factors and can dislodge formed clot. Two litres of crystalloid (A) worsens dilutional coagulopathy. Permissive hypotension is generally targeted until haemorrhage is controlled, except where there is a coexisting head injury. When blood is available for haemorrhagic shock, give blood, not litres of saline.

Reference: NICE NG39; pre-hospital transfusion guidance