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Traumatic brain injury — DipIMC MCQ

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EasyPre-Hospital Trauma ManagementTraumatic brain injuryDipIMC

A 53-year-old pedestrian is hit by a van. He opens eyes to pain, makes incomprehensible sounds and withdraws from trapezius squeeze; his pupils are equal and oxygen saturations are 96% on oxygen. What is the most appropriate management?

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Correct answer: C — Treat as significant traumatic brain injury and prioritise airway protection and rapid transfer

His GCS is 8, which indicates severe impairment after trauma and a high risk of airway compromise. Airway protection, prevention of hypoxia and hypotension, and rapid transfer to a major trauma centre are priorities. Morphine may worsen ventilation and does not address the immediate risk. The pearl is that secondary brain injury prevention begins at the roadside.

Reference: JRCALC Guidelines 2025; NICE Head Injury NG232; NICE Major Trauma NG39