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Media and relatives at scene — DipIMC MCQ

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ModerateMajor Incident ManagementMedia and relatives at sceneDipIMC

At a rail incident, distressed relatives and journalists approach the treatment area asking for names of casualties. Clinical teams are busy and police are present. What is the most appropriate management?

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Correct answer: A — Refer enquiries through police and incident command while protecting confidentiality

Refer enquiries through police and incident command while protecting confidentiality is the best answer because major incident information release should be controlled through command structures and confidentiality maintained. 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 is less appropriate because over-resuscitation can worsen bleeding when haemorrhage is uncontrolled. Immobilise every joint and delay departure for a detailed examination and Provide reassurance and reassess after transport 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: JESIP Joint Doctrine; MIMMS Major Incident Medical Management and Support