Major incident declaration — DipIMC MCQ
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Correct answer: E — Declare or communicate a suspected major incident promptly
Explanation lettering: C = shown as A · E = shown as C · A = shown as E
A is correct: A major incident is defined by resource demand exceeding usual capacity; early declaration mobilises the system. 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; D is less suitable because it does not address the discriminator in the vignette; E is less suitable because it delays the immediate life-saving step in the cABCDE sequence. 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