Incubator retrieval hypothermia — DipIMC MCQ

Correct answer: B — Dry, wrap with warm coverings, maintain airway and use skin-to-skin or warmed environment while awaiting retrieval

Dry, wrap with warm coverings, maintain airway and use skin-to-skin or warmed environment while awaiting retrieval is the best answer because thermal protection is central during neonatal retrieval because hypothermia worsens outcomes. Provide reassurance and reassess after transport is less appropriate because reassurance is inadequate for an evolving major trauma problem; Give unrestricted crystalloid to normalise blood pressure is less appropriate because over-resuscitation can worsen bleeding when haemorrhage is uncontrolled. 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: Resuscitation Council UK Guidelines; JRCALC Guidelines; Neonatal Life Support guidance