Drug documentation — DipIMC MCQ

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EasyPre-Hospital PharmacologyDrug documentationDipIMC

After giving morphine, a patient is handed over to the trauma team. The team asks when the last dose was administered. What is the most appropriate management?

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Correct answer: B — Document dose, route, time and response in the handover record

Explanation lettering: D = shown as B · E = shown as C · B = shown as D · C = shown as E

D is correct: Controlled and emergency drugs require clear documentation of dose, route, timing and clinical response. A is less suitable because it does not address the discriminator in the vignette; B is less suitable because analgesia is important but does not replace the first physiological intervention; C is less suitable because it moves the patient before the decisive threat or destination issue is addressed; E is less suitable because it does not address the discriminator in the vignette. 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: JRCALC Medicines Guidelines; Resuscitation Council UK; BNF