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Specialist burns distribution — DipIMC MCQ

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HardMajor IncidentsSpecialist burns distributionDipIMC

A fire produces several stable patients with burns over 20 to 30% body surface area. Airway signs are absent and regional burns advice is available. What is the most appropriate transport decision?

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

Reveal the answer and explanation

Correct answer: ECoordinate transfer through burns network and incident command

Explanation lettering: E = shown as A · A = shown as B · B = shown as E

B is correct: Specialist injuries should be distributed through network coordination rather than overwhelming one receiving site. A is less suitable because it does not address the discriminator in the vignette; C is less suitable because it does not address the discriminator in the vignette; D 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: MIMMS; JESIP Joint Doctrine; JRCALC Major Incidents