Ketamine analgesia — 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: A — Ketamine analgesia according to local pre-hospital protocol
Explanation lettering: E = shown as A · C = shown as B · A = shown as C · B = shown as E
E is correct: Ketamine can provide effective analgesia for severe trauma pain while preserving airway reflexes when used within protocol. A is less suitable because rapid IV benzodiazepine bolus carries avoidable respiratory risk; B is less suitable because the dose is below standard severe adult asthma nebuliser dosing; C is less suitable because analgesia is important but does not replace the first physiological intervention; D is less suitable because it is a common auto-injector dose rather than the adult healthcare dose. 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 Medicines Guidelines; Resuscitation Council UK; BNF