Need for bypass to major trauma centre — DipIMC MCQ
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Correct answer: D — Transport directly to the major trauma centre with pre-alert
Transport directly to the major trauma centre with pre-alert is the best answer because physiological abnormality plus suspected major trauma supports direct transfer to specialist trauma care. Transport to the nearest minor injury unit is less appropriate because a minor injury unit cannot provide definitive major trauma care; Transport to the nearest hospital without pre-alert is less appropriate because unstructured destination choice can delay trauma-team activation. Allow self-evacuation in a private vehicle and Remain on scene until observations normalise are also suboptimal because they move attention away from the key pre-hospital priority.. The key DipIMC principle is to treat immediate reversible threats, communicate clearly and move the patient toward the right definitive care.
Reference: NICE Major Trauma NG39; JRCALC Guidelines