Tachycardic abdominal casualty — DipIMC MCQ

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EasyMajor Incident ManagementTachycardic abdominal casualtyDipIMC

A bus crash casualty cannot walk because of abdominal pain. Respiratory rate is 22/min and pulse is 132/min. He is pale with no external bleeding. What is the triage category?

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Correct answer: A — Priority 1 (red)

Option A is correct because Tachycardia above the primary triage threshold in a non-walking casualty indicates Priority 1. Option B is less appropriate because Priority 2 is for serious injury without immediate life-saving criteria; option D is less appropriate because Priority 3 is for walking wounded or minor casualties with stable physiology. Option E is less appropriate because expectant triage is used in exceptional resource-limited circumstances; option C is less appropriate because the stem does not meet criteria for death assignment. Clinical pearl: in DipIMC-style questions, the best answer is the intervention that changes outcome earliest in the pre-hospital phase.

Reference: MIMMS; NHS Major Incident Triage Tool