Intranasal diamorphine child — DipIMC MCQ
Instant feedback + full explanation. One question, done properly.
Educational content. Not a substitute for clinical judgement or local policy.
Reveal the answer and explanation
Correct answer: A — Give intranasal diamorphine according to weight and protocol
Give intranasal diamorphine according to weight and protocol is the best answer because intranasal opioid analgesia is effective and avoids unnecessary cannulation in selected children. Delay medication until hospital review is less appropriate because time-critical emergency drugs should not wait for hospital arrival; Give intravenous adrenaline 1 mg as a rapid bolus is less appropriate because IV bolus adrenaline is reserved for cardiac arrest or expert titrated use. Give intramuscular adrenaline 1 mg and Give oral antihistamine as first-line treatment 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