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Shoulder dislocation remote — DipIMC MCQ

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ModeratePre-Hospital Trauma ManagementShoulder dislocation remoteDipIMC

A climber has an anterior shoulder deformity with lateral shoulder paraesthesia but intact radial pulse and hand function. Evacuation will take 3 hours. What is the most appropriate management?

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

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Correct answer: E — Provide analgesia, immobilise comfortably and arrange evacuation

Option E is correct because With intact distal function, pre-hospital care usually prioritises analgesia, documentation and safe evacuation within competence. Option D is less appropriate because watchful waiting risks deterioration or delays definitive care; option A is less appropriate because the clinical risk exceeds that destination or timeframe. Option C is less appropriate because it is plausible in a different scenario but suboptimal for the features described; option B is less appropriate because analgesia is important but not sufficient as the primary intervention. Clinical pearl: in DipIMC-style questions, the best answer is the intervention that changes outcome earliest in the pre-hospital phase.

Reference: JRCALC Guidelines