Major trauma pre-alert — DipIMC MCQ

Correct answer: A — Give a structured major trauma pre-alert including anticoagulant use and neurological findings

Give a structured major trauma pre-alert including anticoagulant use and neurological findings is the best answer because pre-alert allows early mobilisation of CT, resuscitation and reversal pathways. Delay intervention until arrival at hospital is less appropriate because delay is unsafe when a reversible pre-hospital threat is present; Wait for imaging before intervening is less appropriate because imaging is not available or appropriate before treating a clinical life threat. Give a large crystalloid bolus before controlling the injury and Perform a full secondary survey before treating the abnormality 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