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Transport destination sepsis remote — DipIMC MCQ

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ModerateRetrieval MedicineTransport destination sepsis remoteDipIMC

A 64-year-old on an island has septic shock from pneumonia. The local clinic has oxygen and fluids but no vasopressors; helicopter retrieval can reach a hospital with ICU in 45 minutes. What is the most appropriate transport decision?

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

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Correct answer: AArrange retrieval to the hospital with critical care capability while resuscitating locally

Arrange retrieval to the hospital with critical care capability while resuscitating locally is the best answer because retrieval decisions should match physiological need to receiving capability while avoiding unnecessary delay. Remain on scene until observations normalise is less appropriate because normalising observations at scene can delay definitive treatment; Transport to the nearest hospital without pre-alert is less appropriate because unstructured destination choice can delay trauma-team activation. Delay transport for full wound cleaning and Transport to the nearest minor injury unit 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; ATACC Manual