Retrieval of major burn — DipIMC MCQ

Correct answer: B — Pre-alert and transfer to the nearest appropriate trauma centre for airway stabilisation before specialist burns transfer if needed

Pre-alert and transfer to the nearest appropriate trauma centre for airway stabilisation before specialist burns transfer if needed is the best answer because immediate airway and resuscitation capability may take priority before longer specialist burns transfer. 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. Allow self-evacuation in a private vehicle and Delay transport for full wound cleaning 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: British Burn Association Pre-hospital Burn Consensus; JRCALC Guidelines; ATACC Manual