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After correct binder placement over the greater trochanters, maintain it to decrease pelvic volume and tamponade venous bleeding. Gentle internal rotation of lower limbs with straps can further approximate the pelvis and reduce motion. Avoid removing the binder; displacement can re-open the pelvis and worsen hemorrhage. Diuretics are contraindicated; hypotension reflects blood loss, not fluid overload. Upright positioning may compromise hemodynamics and binder effectiveness. Continue balanced resuscitation, TXA per protocol, and hypothermia prevention. Limit logrolling and unnecessary manipulation; secure the casualty for transport with minimal jostling. Coordinate rapid evacuation to facilities capable of definitive hemorrhage control (preperitoneal packing, pelvic angioembolization, external fixation). Reassess distal pulses and skin integrity under the binder at appropriate intervals to prevent complications.