Confidentiality radio — DipIMC MCQ

Correct answer: A — Use necessary clinical details while minimising identifiable information

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

E is correct: Confidentiality still applies pre-hospital; communication should include what is needed for care without unnecessary identifiers. A is less suitable because it moves the patient before the decisive threat or destination issue is addressed; B is less suitable because the vignette contains high-risk features that require escalation; 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. 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