Remote spinal packaging — DipIMC MCQ

Correct answer: B — Use movement minimisation, insulation and a comfortable evacuation plan

Option B is correct because Remote spinal care balances movement minimisation with pressure, pain and hypothermia prevention. 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 E 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; NICE Major Trauma NG39; ATACC