Electrical injury arrest risk — DipIMC MCQ

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ModerateResuscitationElectrical injury arrest riskDipIMC

A 33-year-old electrician receives a high-voltage shock and is thrown clear. He is alert but has chest discomfort, palpitations and entry and exit burns. What is the most appropriate transport decision?

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Correct answer: A — Transport to an emergency department with monitoring capability

Transport to an emergency department with monitoring capability is the best answer because high-voltage injury and symptoms raise risk of dysrhythmia and occult tissue injury requiring monitored assessment. 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 is less appropriate because wound toilet should not delay urgent haemorrhage or surgical care. Transport to the nearest hospital without pre-alert 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; Resuscitation Council UK Guidelines