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Documentation of controlled drugs — DipIMC MCQ

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ModerateScene Safety and MedicolegalDocumentation of controlled drugsDipIMC

A clinician gives morphine and ketamine during a prolonged extrication. The patient is handed over before paperwork is complete. What is the most appropriate management?

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Correct answer: ARecord dose, route, time, response and remaining stock according to controlled-drug procedures

Record dose, route, time, response and remaining stock according to controlled-drug procedures is the best answer because controlled drugs require accurate contemporaneous documentation and stock accountability. Use oral analgesia as the main treatment is less appropriate because oral therapy is inadequate or unreliable in major trauma; Provide reassurance and reassess after transport is less appropriate because reassurance is inadequate for an evolving major trauma problem. Immobilise every joint and delay departure for a detailed examination 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; Misuse of Drugs Regulations