High-consequence infection — DipIMC MCQ

Correct answer: B — Isolate, use PPE guidance and coordinate specialist transfer

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

D is correct: Suspected high-consequence infection requires infection-control-led retrieval planning rather than routine conveyance. A is less suitable because it does not address the discriminator in the vignette; B is less suitable because it moves the patient before the decisive threat or destination issue is addressed; C is less suitable because it does not address the discriminator in the vignette; E is less suitable because the vignette contains high-risk features that require escalation. 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 Guidelines; NICE Major Trauma Service Delivery NG40; ATACC