Minor fracture triage — DipIMC MCQ

Correct answer: D — P2 / urgent

D is correct: Inability to walk without abnormal physiology is urgent rather than immediate. A is less suitable because P1 is reserved for immediate life-threatening physiology or intervention need; B is less suitable because P3 is for delayed casualties, usually walking or physiologically stable; C is less suitable because the patient has clinically significant illness or injury; E is less suitable because the stem does not describe persistent apnoea or injuries incompatible with life. The most tempting alternative is therefore suboptimal because it either delays the time-critical pre-hospital intervention or sends the patient to the wrong level of care. The key DipIMC principle is focused cABCDE decision-making with early pre-alert, triage or retrieval escalation when the scene physiology demands it.

Reference: MIMMS; JESIP Joint Doctrine; JRCALC Major Incidents