Diabetic ketoacidosis — DipIMC MCQ

Correct answer: C — Urgent transport with monitoring and pre-alert for diabetic ketoacidosis

Option C is correct because DKA needs hospital-based fluids, insulin and electrolyte monitoring; pre-hospital care is supportive and time-critical. Option E 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 B is less appropriate because watchful waiting risks deterioration or delays definitive care; option A 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