Major incident documentation — DipIMC MCQ

Correct answer: E — Record treatments on durable triage or clinical documentation and include them in handover

Record treatments on durable triage or clinical documentation and include them in handover is the best answer because major incidents magnify the risk of lost clinical information, so concise durable documentation is essential. Immobilise every joint and delay departure for a detailed examination is less appropriate because prolonged packaging can delay definitive care; Provide reassurance and reassess after transport is less appropriate because reassurance is inadequate for an evolving major trauma problem. Defer treatment until a senior hospital doctor reviews the patient and Give unrestricted crystalloid to normalise blood pressure 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; JRCALC Guidelines; JESIP Joint Doctrine