Placental abruption after trauma — DipIMC MCQ

Correct answer: C — Transport to obstetric-led emergency care with trauma pre-alert

Option C is correct because Uterine tenderness and bleeding after trauma suggest placental abruption even when observations are initially stable. Option E is less appropriate because the clinical risk exceeds that destination or timeframe; option B is less appropriate because pre-alert is needed to mobilise the correct receiving team. Option D is less appropriate because watchful waiting risks deterioration or delays definitive care; option A 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: JRCALC Guidelines; NICE Major Trauma NG39