Casualty flow destination — DipIMC MCQ

Instant feedback + full explanation. One question, done properly.

ModerateMajor IncidentsCasualty flow destinationDipIMC

At a major incident, the nearest emergency department is already saturated and ambulance control identifies spare capacity at a further trauma unit. 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: A — Distribute casualties according to command and hospital capacity

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

B is correct: Major incident evacuation should balance priority, destination capability and system capacity. 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 does not address the discriminator in the vignette; E is less suitable because it moves the patient before the decisive threat or destination issue is addressed. 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