Massive PE — DipIMC MCQ

Correct answer: A — Pre-alert and transport urgently to a hospital able to manage massive pulmonary embolism

Pre-alert and transport urgently to a hospital able to manage massive pulmonary embolism is the best answer because shock with sudden dyspnoea and clear lungs suggests massive PE needing specialist reperfusion consideration. 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 is less appropriate because unstructured destination choice can delay trauma-team activation. Transport to the nearest minor injury unit 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; NICE Venous Thromboembolic Diseases guidance