Remote stroke thrombolysis window — DipIMC MCQ

Correct answer: C — Request time-critical transfer to a hyperacute stroke unit

Request time-critical transfer to a hyperacute stroke unit is the best answer because early specialist stroke assessment preserves eligibility for reperfusion therapies. Transport to the nearest hospital without pre-alert is less appropriate because unstructured destination choice can delay trauma-team activation; Remain on scene until observations normalise is less appropriate because normalising observations at scene can delay definitive treatment. Transport to the nearest minor injury unit and Allow self-evacuation in a private vehicle 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; NICE Stroke guidance