For trauma-related shock, which protocol should be followed?

• A. Sepsis Protocol
• B. Cardiac Arrest Protocol
• C. General Trauma Protocol
• D. Pediatric Shock Protocol

Answer: (C)

Trauma-related shock is managed under the General Trauma Protocol because the primary issue in this scenario is injury-driven blood loss and tissue damage. This protocol guides the priorities of care in trauma: rapid hemorrhage control (tourniquets, hemostatic dressings, pelvic binders), airway and breathing management in the trauma setting, rapid assessment of circulation, and timely transport with resuscitation aimed at hemorrhage control rather than infection or cardiac rhythm alone. It also covers strategies specific to trauma resuscitation, such as targeted blood product use and medications like tranexamic acid within the appropriate window, while avoiding excessive crystalloid volumes. Sepsis protocol is aimed at infection-related shock, Cardiac Arrest Protocol is for cases with no palpable pulse, and Pediatric Shock Protocol is tailored to children, not the general adult trauma patient. Hence, the General Trauma Protocol is the most appropriate framework for trauma-related shock.