Walking wounded public order — DipIMC MCQ

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ModerateScene Safety, Medicolegal and CommunicationWalking wounded public orderDipIMC

During a public order incident, an adult with an isolated closed forearm deformity walks unaided to the casualty clearing point. RR is 14, pulse 92 and they are orientated. They are anxious but have no uncontrolled bleeding. What is the triage category?

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Correct answer: A — Priority 3 (green)

Option A is correct because A patient who can walk with stable physiology and an isolated limb injury is triaged Priority 3. Priority 2 would be used for more serious injuries or inability to mobilise, and Priority 1 is for immediate life threats. Separating walking wounded early helps preserve resources for non-ambulant casualties. Option E is less appropriate because Priority 1 is reserved for immediate life-saving needs or severe physiological compromise; option C is less appropriate because Priority 2 is for serious injury without immediate life-saving criteria. Option D is less appropriate because expectant triage is used in exceptional resource-limited circumstances; option B 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 England Major Incident Triage Tool