The pneumatic antishock garment (PASG) is indicated for which scenario?

• A. any severe injury above the nipple line.
• B. blunt chest trauma and hypotension.
• C. femur fractures and crackles in the lungs.
• D. pelvic instability and signs of shock.

Answer: (D)

The main idea is that the pneumatic antishock garment is used to control pelvic hemorrhage and support blood pressure in shock from a pelvic fracture. Inflating the garment compresses the pelvis and lower abdomen, reducing pelvic bleeding and helping push blood toward the heart to improve perfusion during transport.

This best scenario—pelvic instability with signs of shock—fits because it targets the type of bleeding the garment is designed to tamponade and addresses the hemodynamic instability caused by pelvic fractures. It is not indicated for general severe injuries above the nipple line, nor for blunt chest trauma (which can be worsened by the garment), and it doesn’t address a femur fracture with lung crackles, where the issue isn’t pelvic bleeding.