Adult obeys commands — DipIMC MCQ

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EasyMajor IncidentsAdult obeys commandsDipIMC

A 60-year-old cannot walk after a fall from a platform. Respiratory rate is 18, radial pulse is present and he obeys commands. What is the triage category?

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

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Correct answer: A — P2 / urgent

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

A is correct: Non-walking with acceptable basic physiology is urgent in sieve-based triage. B is less suitable because P3 is for delayed casualties, usually walking or physiologically stable; C is less suitable because P1 is reserved for immediate life-threatening physiology or intervention need; D is less suitable because the stem does not describe persistent apnoea or injuries incompatible with life; E is less suitable because the patient has clinically significant illness or injury. 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