Non-accidental injury concern — DipIMC MCQ

Correct answer: B — Treat the injury, document findings carefully and raise safeguarding concerns through the receiving team

Treat the injury, document findings carefully and raise safeguarding concerns through the receiving team is the best answer because inconsistent history and unexplained injuries in an infant require safeguarding escalation while clinical care continues. Provide reassurance and reassess after transport is less appropriate because reassurance is inadequate for an evolving major trauma problem; 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 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; NICE Child maltreatment guidance