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Laryngeal trauma — DipIMC MCQ

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HardPre-Hospital Trauma ManagementLaryngeal traumaDipIMC

A rugby player receives a direct blow to the anterior neck and develops dysphonia, mild stridor and surgical emphysema. Saturations are acceptable on oxygen. What is the most appropriate transport decision?

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

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Correct answer: E — Transport urgently with critical care airway support available en route

Option E is correct because Laryngeal injury can deteriorate rapidly and airway intervention may become difficult if delayed. Option C is less appropriate because the clinical risk exceeds that destination or timeframe; option D is less appropriate because pre-alert is needed to mobilise the correct receiving team. Option A is less appropriate because watchful waiting risks deterioration or delays definitive care; option B 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: ATACC Manual; JRCALC Guidelines