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Transfer-related deterioration — DipIMC MCQ

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ModerateRetrieval MedicineTransfer-related deteriorationDipIMC

A 38-year-old ventilated retrieval patient becomes hypotensive immediately after being moved from hospital bed to ambulance trolley. The ventilator and monitor remain connected. What is the most appropriate immediate action?

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

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Correct answer: A — Stop the move, reassess ABCs, lines, ventilator pressures and haemodynamics

Deterioration during transfer transitions should trigger immediate reassessment of airway, breathing, circulation, lines and equipment. Continuing a move during instability can convert a manageable problem into arrest in a confined environment. Alarms and monitoring are safety systems. The pearl is that bed-to-trolley and trolley-to-vehicle transfers are high-risk clinical moments.

Reference: Intensive Care Society Transfer Guidance; JRCALC Guidelines 2025