Traumatic tamponade — DipIMC MCQ

Correct answer: C — Immediate transfer to a trauma centre capable of emergency thoracotomy

Immediate transfer to a trauma centre capable of emergency thoracotomy is the best answer because penetrating chest trauma with obstructive shock and equal breath sounds suggests tamponade needing surgery. Allow self-evacuation in a private vehicle is less appropriate because private transport is unsafe for an unstable or potentially unstable casualty; Transport to the nearest minor injury unit is less appropriate because a minor injury unit cannot provide definitive major trauma care. Delay transport for full wound cleaning 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: JRCALC Guidelines; ATACC Manual; NICE Major Trauma NG39