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Major trauma helicopter transfer — DipIMC MCQ

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ModerateRetrieval MedicineMajor trauma helicopter transferDipIMC

A 52-year-old man with severe chest trauma is intubated by a critical care team at a remote scene. The helicopter can reach a major trauma centre in 18 minutes, while road transfer is 55 minutes; weather is suitable. What is the most appropriate transport decision?

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

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Correct answer: A — Use helicopter transfer to the major trauma centre if packaging and landing safety are acceptable

Transport mode should match clinical urgency, destination and operational safety. A ventilated major trauma patient may benefit from helicopter transfer when it substantially reduces time to definitive care and the aircraft can operate safely. Intubation is not a contraindication to flight when the retrieval team can monitor and ventilate appropriately. The pearl is that aircraft are clinical tools, not status symbols; they should solve a time, access or capability problem.

Reference: JRCALC Guidelines 2025; ATACC; FPHC Retrieval Medicine principles