Transport refusal in remote setting — DipIMC MCQ

Correct answer: A — Assess capacity, explain material risks and arrange conveyance if he lacks capacity or accepts advice

Assess capacity, explain material risks and arrange conveyance if he lacks capacity or accepts advice is the best answer because refusal of time-critical care requires capacity assessment and clear risk communication. 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 is less appropriate because pre-hospital clinicians must treat immediate threats within scope. Use oral analgesia as the main treatment 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: JRCALC Guidelines; Mental Capacity Act Code of Practice