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Major incident documentation — DipIMC MCQ

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ModerateMajor IncidentsMajor incident documentationDipIMC

At a city-centre incident, a patient arrives at casualty clearing with a triage label but no treatment record. He has received morphine and a tourniquet from another team. What is the most appropriate immediate action?

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

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Correct answer: CCreate a concise record including identity if known, triage category, treatments, times and reassessment

Major incidents require concise but reliable documentation of triage, treatments and timings, especially tourniquet and drug administration. Verbal information is easily lost as patients move between sectors. Re-triage should follow reassessment, not administrative convenience. The pearl is that documentation is a clinical safety tool during patient dispersal.

Reference: MIMMS; JRCALC Guidelines 2025; NICE Major Trauma NG39