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Pelvic fracture — DIPIMC MCQ

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ModeratePre-Hospital TraumaPelvic fractureDIPIMCDipIMC

A 30-year-old falls 6 metres from scaffolding. He is pale and hypotensive with pain over the pelvis and you suspect a pelvic ring injury. A commercial pelvic binder is to be applied.

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

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Correct answer: CAt the level of the greater trochanters

Explanation lettering: D = shown as A · A = shown as D

A pelvic binder must be positioned at the level of the greater trochanters to compress the pelvic ring and reduce the volume of a disrupted pelvis, thereby limiting venous bleeding. Placement over the iliac crests (A) is a common error that fails to compress the ring effectively. Correct binder placement is a simple but frequently mis-performed life-saving step.

Reference: JRCALC Clinical Guidelines; NICE NG39