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Remote ankle fracture evacuation — DipIMC MCQ

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EasyRetrieval MedicineRemote ankle fracture evacuationDipIMC

A 29-year-old climber with an isolated ankle fracture is on a steep hillside two hours from road access. He is warm, alert and haemodynamically stable; mountain rescue can carry him to a road ambulance. What is the most appropriate transport decision?

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

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Correct answer: D — Use mountain rescue stretcher evacuation to road ambulance with analgesia and splinting

A stable isolated limb injury needs safe evacuation, analgesia and splinting rather than automatic helicopter retrieval. Walking on a suspected fracture risks worsening injury and pain. Analgesia and splinting make evacuation safer and more humane. The pearl is that retrieval decisions weigh terrain, physiology, weather and resource stewardship.

Reference: JRCALC Guidelines 2025; Mountain Rescue Casualty Care principles