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Secondary triage — DipIMC MCQ

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ModerateMajor Incident ManagementSecondary triageDipIMC

After primary triage at a festival collapse, several P1 patients are in the casualty clearing station. A senior clinician arrives to refine priorities before transport. What is the most appropriate management?

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Correct answer: B — Undertake secondary triage using more detailed physiology and clinical judgement

Option B is correct because Primary triage is rapid and secondary triage refines priorities once patients reach a safer treatment area. Option C is less appropriate because watchful waiting risks deterioration or delays definitive care; option E is less appropriate because the clinical risk exceeds that destination or timeframe. Option A is less appropriate because it is plausible in a different scenario but suboptimal for the features described; option D 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: MIMMS; NHS Major Incident Triage Tool