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Dynamic triage during entrapment — DipIMC MCQ

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HardMajor IncidentsDynamic triage during entrapmentDipIMC

At a nightclub structural collapse, a conscious casualty is trapped from the waist down. He has no catastrophic external bleeding and is alert, but extrication will take one hour. What is the triage category?

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

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Correct answer: D — Priority category may change after repeated reassessment during extrication

Triage is dynamic, particularly for trapped patients whose physiology may deteriorate or reveal crush injury during rescue. Consciousness alone does not define P3, and being trapped does not equal dead. Initial and repeated triage should guide resource allocation and treatment. The pearl is that major incident triage is an iterative process, not a one-off label.

Reference: MIMMS; NHS England MITT 2023; ATACC