Acute behavioural disturbance — DipIMC MCQ

Correct answer: E — Reduce stimulation, prioritise safety, request appropriate support and monitor for hyperthermia

Reduce stimulation, prioritise safety, request appropriate support and monitor for hyperthermia is the best answer because acute behavioural disturbance carries risks of hyperthermia, acidosis and sudden deterioration. Defer treatment until a senior hospital doctor reviews the patient is less appropriate because pre-hospital clinicians must treat immediate threats within scope; Use oral analgesia as the main treatment is less appropriate because oral therapy is inadequate or unreliable in major trauma. Give unrestricted crystalloid to normalise blood pressure and Immobilise every joint and delay departure for a detailed examination 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; Faculty of Pre-Hospital Care guidance