Pre-eclampsia severe hypertension — DipIMC MCQ

Correct answer: A — Transfer urgently to obstetric-led care with pre-alert and seizure precautions

Transfer urgently to obstetric-led care with pre-alert and seizure precautions is the best answer because severe hypertension with neurological symptoms suggests severe pre-eclampsia and risk of eclampsia. Allow self-evacuation in a private vehicle is less appropriate because private transport is unsafe for an unstable or potentially unstable casualty; Transport to the nearest minor injury unit is less appropriate because a minor injury unit cannot provide definitive major trauma care. Remain on scene until observations normalise 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: JRCALC Guidelines; NICE Hypertension in pregnancy guidance