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Airway burns RSI planning — DipIMC MCQ

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HardPre-Hospital Trauma ManagementAirway burns RSI planningDipIMC

A man rescued from a garage fire has facial burns, soot in sputum and progressive stridor. A critical care team is 5 minutes away. What is the most appropriate transport decision?

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

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Correct answer: EPrepare for early drug-assisted intubation by the critical care team before transfer

Option E is correct because Progressive stridor after burns predicts airway oedema, where early expert airway control is safer than waiting. Option B is less appropriate because the clinical risk exceeds that destination or timeframe; option A 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 C 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: ATACC Manual; JRCALC Guidelines