Pre-transfer checklist — DipIMC MCQ
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Correct answer: B — Use a structured pre-transfer checklist before departure
Explanation lettering: D = shown as A · E = shown as D · A = shown as E
B is correct: Structured retrieval checklists reduce omissions in airway, breathing, circulation, monitoring, drugs and destination communication. A is less suitable because it does not address the discriminator in the vignette; C is less suitable because it moves the patient before the decisive threat or destination issue is addressed; D is less suitable because a detailed survey is inappropriate before correcting an immediate threat; 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; NICE Major Trauma Service Delivery NG40; ATACC