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Reversible causes handover — DipIMC MCQ

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ModerateResuscitationReversible causes handoverDipIMC

A 45-year-old in PEA arrest after a road collision has bilateral chest injuries and a distended abdomen. CPR is ongoing and the trauma team is expecting him. What is the most appropriate immediate action?

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

Reveal the answer and explanation

Correct answer: BUse a structured handover focused on reversible traumatic causes and interventions performed

Use a structured handover focused on reversible traumatic causes and interventions performed is the best answer because clear communication of mechanism, physiology and reversible causes supports definitive trauma resuscitation. Transport without treating the identified time-critical problem is less appropriate because movement alone may not reverse the immediate physiology; 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 Delay intervention until arrival at hospital 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: Resuscitation Council UK Guidelines; JRCALC Guidelines; ATACC Manual