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Fall from height — DipIMC MCQ

Instant feedback + full explanation. One question, done properly.

ModeratePre-Hospital Trauma ManagementFall from heightDipIMC

A roofer falls 5 metres and has chest pain, lumbar pain and a distracting wrist deformity. He is haemodynamically stable. What is the most appropriate transport decision?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: E — Transport to the major trauma centre with pre-alert

Option E is correct because A fall from height with multi-region pain suggests major trauma even if initial physiology is stable. Option D is less appropriate because the clinical risk exceeds that destination or timeframe; option A is less appropriate because pre-alert is needed to mobilise the correct receiving team. Option B is less appropriate because watchful waiting risks deterioration or delays definitive care; option C is less appropriate because unmonitored private transport is unsafe for this risk profile. Clinical pearl: in DipIMC-style questions, the best answer is the intervention that changes outcome earliest in the pre-hospital phase.

Reference: NICE Major Trauma NG39; JRCALC Guidelines