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Clinical handover after deterioration — DipIMC MCQ

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HardScene Safety and GovernanceClinical handover after deteriorationDipIMC

A trauma patient deteriorates en route after analgesia and chest decompression. At handover, the emergency department is crowded and a junior nurse asks for a quick verbal summary while the trauma team assembles. What is the most appropriate management?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: AGive a structured ATMIST handover including deterioration and interventions

Structured handover preserves critical time, mechanism, injuries, signs, treatments and changes during transfer. Deterioration and interventions such as decompression and analgesia doses directly affect immediate care. Responsibility is not safely transferred until an appropriate receiving clinician has the information.

Reference: NICE NG40 Major trauma service delivery; JRCALC Guidelines