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Triage label reassessment — DipIMC MCQ

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EasyMajor Incident ManagementTriage label reassessmentDipIMC

A Priority 3 casualty in the walking wounded area becomes pale and confused with a fast weak pulse. No one has reassessed the area for 40 minutes. What is the most appropriate immediate action?

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

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Correct answer: CReassess and upgrade triage priority while arranging urgent treatment

Reassess and upgrade triage priority while arranging urgent treatment is the best answer because triage category is dynamic and deterioration must prompt immediate reassessment and escalation. Perform a full secondary survey before treating the abnormality is less appropriate because secondary survey follows correction of immediate life threats; Delay intervention until arrival at hospital is less appropriate because delay is unsafe when a reversible pre-hospital threat is present. Give a large crystalloid bolus before controlling the injury and Wait for imaging before intervening 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: MIMMS Major Incident Medical Management and Support; NHS England Major Incident Triage Tool