Dynamic risk assessment road scene — DipIMC MCQ

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EasyScene Safety and MedicolegalDynamic risk assessment road sceneDipIMC

An ambulance stops at a high-speed motorway collision at night. Vehicles are still passing in lane one and fuel is leaking from a car. What is the most appropriate immediate action?

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Correct answer: B — Position safely, request police and fire support, and avoid entering an unsafe area

Position safely, request police and fire support, and avoid entering an unsafe area is the best answer because scene safety and dynamic risk assessment precede patient contact when hazards are uncontrolled. Perform a full secondary survey before treating the abnormality is less appropriate because secondary survey follows correction of immediate life threats; Wait for imaging before intervening is less appropriate because imaging is not available or appropriate before treating a clinical life threat. Give a large crystalloid bolus before controlling the injury and Delay intervention until arrival at hospital 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; JESIP Joint Doctrine