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P1 airway management at major incident — DipIMC MCQ

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HardMajor IncidentsP1 airway management at major incidentDipIMC

At a major incident, a casualty is labelled P1 but transport resources are temporarily unavailable. He has airway obstruction from facial trauma that improves with simple positioning. What is the most appropriate immediate action?

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Correct answer: C — Maintain the lifesaving airway manoeuvre and escalate transport priority through command

A lifesaving intervention must be maintained or handed over safely; labels alone do not keep patients alive. Airway improvement with positioning still indicates high risk and need for urgent transport. Command should be informed of time-critical priority and resource need. The pearl is that triage, treatment and transport must remain connected.

Reference: MIMMS; JRCALC Guidelines 2025; NHS England MITT 2023