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Retrieval team handover — DipIMC MCQ

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ModerateRetrieval MedicineRetrieval team handoverDipIMC

A land crew hands over a ventilated polytrauma patient to a retrieval team at a roadside rendezvous. Several interventions occurred rapidly and drug times are uncertain. What is the most appropriate management?

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

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Correct answer: B — Use a structured ATMIST-style handover including timings, physiology and interventions

Use a structured ATMIST-style handover including timings, physiology and interventions is the best answer because handover during retrieval must transfer mechanism, injuries, signs, treatments and trends accurately. Use oral analgesia as the main treatment is less appropriate because oral therapy is inadequate or unreliable in major trauma; Defer treatment until a senior hospital doctor reviews the patient is less appropriate because pre-hospital clinicians must treat immediate threats within scope. Give unrestricted crystalloid to normalise blood pressure and Immobilise every joint and delay departure for a detailed examination 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