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Structured handover — DipIMC MCQ

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EasyScene Safety and MedicolegalStructured handoverDipIMC

A trauma patient arrives at the emergency department after multiple pre-hospital interventions. The receiving team is crowded and interruptions are frequent. What is the most appropriate management?

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Correct answer: B — Use a concise ATMIST handover and explicitly state critical interventions and timings

Use a concise ATMIST handover and explicitly state critical interventions and timings is the best answer because structured handover reduces omission of mechanism, injuries, signs, treatments and trends. Use oral analgesia as the main treatment is less appropriate because oral therapy is inadequate or unreliable in major trauma; Immobilise every joint and delay departure for a detailed examination is less appropriate because prolonged packaging can delay definitive care. Provide reassurance and reassess after transport and Defer treatment until a senior hospital doctor reviews the patient 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; ATACC Manual