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Safeguarding vulnerable adult — DipIMC MCQ

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ModerateScene Safety and MedicolegalSafeguarding vulnerable adultDipIMC

An older man with bruises and dehydration says his carer will be angry if he goes to hospital. The home is cold and there is little food. What is the most appropriate management?

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Correct answer: D — Treat immediate needs, document concerns and make a safeguarding referral through local pathways

Treat immediate needs, document concerns and make a safeguarding referral through local pathways is the best answer because pre-hospital clinicians must recognise and escalate suspected abuse or neglect. Use oral analgesia as the main treatment is less appropriate because oral therapy is inadequate or unreliable in major trauma; Defer treatment until a senior hospital doctor reviews the patient is less appropriate because pre-hospital clinicians must treat immediate threats within scope. Immobilise every joint and delay departure for a detailed examination and Provide reassurance and reassess after transport 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; Care Act safeguarding guidance