Failed local capability — DipIMC MCQ
Instant feedback + full explanation. One question, done properly.
Educational content. Not a substitute for clinical judgement or local policy.
Reveal the answer and explanation
Correct answer: C — Move to the nearest centre able to secure the airway with senior discussion
Explanation lettering: B = shown as A · C = shown as B · D = shown as C · A = shown as D
D is correct: Destination is determined by the life-saving capability needed, not simply trauma network hierarchy. A is less suitable because it does not address the discriminator in the vignette; B is less suitable because the vignette contains high-risk features that require escalation; 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 Guidelines; NICE Major Trauma Service Delivery NG40; ATACC