Long transfer analgesia plan — DipIMC MCQ

Correct answer: C — Give titrated analgesia and reassess ventilation throughout transfer

Give titrated analgesia and reassess ventilation throughout transfer is the best answer because analgesia during retrieval improves ventilation and reduces deterioration from splinting and fatigue. Give nebulised salbutamol as first-line trauma therapy is less appropriate because bronchodilator therapy does not address the traumatic pathology; Give oral medication and reassess at hospital is less appropriate because oral treatment is slow and unreliable in major trauma. Give intramuscular morphine 20 mg as a fixed dose and Withhold the drug until laboratory confirmation is available 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 Major Trauma NG39