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Equipment fixation in helicopter — DipIMC MCQ

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EasyRetrieval MedicineEquipment fixation in helicopterDipIMC

A sedated ventilated patient is being loaded into a helicopter. A syringe pump and monitor are lying loose on the stretcher frame. What is the most appropriate management?

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Correct answer: CSecure equipment and lines before loading and lift-off

Secure equipment and lines before loading and lift-off is the best answer because loose equipment in aircraft is a safety hazard and can interrupt critical infusions or monitoring. Use oral analgesia as the main treatment is less appropriate because oral therapy is inadequate or unreliable in major trauma; Give unrestricted crystalloid to normalise blood pressure is less appropriate because over-resuscitation can worsen bleeding when haemorrhage is uncontrolled. Provide reassurance and reassess after transport 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