Remote stroke helicopter — DipIMC MCQ

Correct answer: A — Use helicopter transfer to the hyperacute stroke unit with pre-alert

Option A is correct because Stroke care is time-critical and depends on rapid access to imaging and reperfusion-capable services. Option B is less appropriate because the clinical risk exceeds that destination or timeframe; option E is less appropriate because pre-alert is needed to mobilise the correct receiving team. Option C 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: JRCALC Guidelines; NICE Stroke guidance