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Heat illness confused casualty — DipIMC MCQ

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ModerateEnvironmental MedicineHeat illness confused casualtyDipIMC

At a mass-participation race, a collapsed runner is confused, unable to walk and hot to touch. Respiratory rate is 26/min and pulse 128/min. What is the triage category?

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

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Correct answer: EPriority 1 (red)

Option E is correct because Confusion, inability to walk and marked tachycardia in heat illness meet immediate priority criteria. Option B is less appropriate because Priority 2 is for serious injury without immediate life-saving criteria; option A is less appropriate because Priority 3 is for walking wounded or minor casualties with stable physiology. Option C is less appropriate because expectant triage is used in exceptional resource-limited circumstances; option D is less appropriate because the stem does not meet criteria for death assignment. 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