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BCEN CFRN Practice Question

A 34-year-old male is brought to the emergency department after a high-speed motorcycle crash. He is hemodynamically unstable, and x-rays confirm an open book pelvic fracture. What is the most appropriate initial management step for this patient?

Apply a pelvic binder
Perform an external fixation
Initiate IV fluids and administer blood products
Immediate surgical repair

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Answer Description

The correct answer is to apply a pelvic binder. Open book pelvic fractures can lead to significant blood loss and instability. A pelvic binder helps stabilize the pelvis, reduce bleeding, and improve hemodynamic status. Administering IV fluids and blood products is also critical but should follow initial stabilization. Performing an external fixation is usually a later step after initial stabilization in the operating room or interventional radiology suite. Immediate surgical repair is not the priority in the initial management phase.

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Why is applying a pelvic binder the most important first step?

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