Transfer of intubated patient — DipIMC MCQ

Correct answer: B — Do not depart until oxygen supply, power and backup ventilation are confirmed

Do not depart until oxygen supply, power and backup ventilation are confirmed is the best answer because retrieval safety requires equipment redundancy for airway and ventilation before transfer. Give unrestricted crystalloid to normalise blood pressure is less appropriate because over-resuscitation can worsen bleeding when haemorrhage is uncontrolled; Provide reassurance and reassess after transport is less appropriate because reassurance is inadequate for an evolving major trauma problem. Immobilise every joint and delay departure for a detailed examination and Defer treatment until a senior hospital doctor reviews the patient 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: ATACC Manual; JRCALC Guidelines