Ondansetron use — DipIMC MCQ

Correct answer: A — Give an antiemetic such as ondansetron according to local protocol

Give an antiemetic such as ondansetron according to local protocol is the best answer because opioid-associated nausea can be treated with a protocolised antiemetic to improve comfort and transfer tolerance. Give intramuscular morphine 20 mg as a fixed dose is less appropriate because fixed intramuscular opioid dosing is poorly titratable; Give oral medication and reassess at hospital is less appropriate because oral treatment is slow and unreliable in major trauma. Withhold the drug until laboratory confirmation is available and Give aspirin 300 mg for traumatic pain 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