Interfacility haemorrhage — DipIMC MCQ

Correct answer: B — Transfer with critical care escort after immediate stabilisation

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

E is correct: Interfacility major trauma transfer requires appropriate escort and ongoing haemorrhage resuscitation. A is less suitable because it moves the patient before the decisive threat or destination issue is addressed; B is less suitable because it does not address the discriminator in the vignette; C is less suitable because it moves the patient before the decisive threat or destination issue is addressed; D 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