Morphine titration — DipIMC MCQ

Correct answer: D — Use cautious titrated analgesia with close respiratory monitoring

Use cautious titrated analgesia with close respiratory monitoring is the best answer because opioids require titration and monitoring, especially when respiratory depression risk is present. Give aspirin 300 mg for traumatic pain is less appropriate because antiplatelet therapy does not treat traumatic haemorrhage or pain; 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 Give nebulised salbutamol as first-line trauma therapy 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