Duty of candour — DipIMC MCQ
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Educational content. Not a substitute for clinical judgement or local policy.
Reveal the answer and explanation
Correct answer: E — Escalate, inform the receiving clinician and follow incident policy
Explanation lettering: E = shown as B · B = shown as E
B is correct: Medication errors require prompt disclosure to the clinical team, patient safety action and incident reporting. A is less suitable because it creates avoidable delay in a time-critical presentation; C is less suitable because it moves the patient before the decisive threat or destination issue is addressed; D is less suitable because analgesia is important but does not replace the first physiological intervention; 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; GMC Good Medical Practice; JESIP Joint Doctrine