Eclampsia — DipIMC MCQ

Correct answer: E — Manage airway, give magnesium sulfate and transfer to obstetric care

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

C is correct: Eclampsia is an obstetric emergency requiring magnesium sulfate, stabilisation and urgent obstetric involvement. A is less suitable because it does not address the discriminator in the vignette; B is less suitable because it moves the patient before the decisive threat or destination issue is addressed; D is less suitable because the vignette contains high-risk features that require escalation; 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; Resuscitation Council UK Paediatric and Newborn Guidelines; NICE NG39