Head injury on warfarin — DipIMC MCQ

Correct answer: C — Transport to an emergency department for urgent head injury assessment

Option C is correct because Anticoagulation, vomiting and reduced GCS after head injury require urgent hospital assessment and likely imaging. Option B 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 E is less appropriate because watchful waiting risks deterioration or delays definitive care; option D 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 Head Injury guidance; JRCALC Guidelines