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Hospital distribution — DipIMC MCQ

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HardMajor Incident ManagementHospital distributionDipIMC

You are coordinating transport after a building collapse. The nearest MTC has limited resus capacity and another MTC is 15 minutes further away with capacity. What is the most appropriate transport decision?

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

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Correct answer: A — Distribute P1 casualties according to receiving capacity and clinical need

Option A is correct because Major incident transport aims to avoid overwhelming a single hospital while matching patients to appropriate capability. Option E is less appropriate because the clinical risk exceeds that destination or timeframe; option C is less appropriate because pre-alert is needed to mobilise the correct receiving team. Option D 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: MIMMS; NHS Major Incident Triage Tool