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Choice of transport platform — DipIMC MCQ

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ModerateRetrieval MedicineChoice of transport platformDipIMC

A 68-year-old with suspected ruptured AAA is at a rural clinic. He is pale, pulse 128/min, systolic blood pressure 86 mmHg, GCS 15; road transfer to vascular surgery takes 95 minutes, helicopter takes 38 minutes and landing is possible. What is the most appropriate immediate action?

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Correct answer: D — Use helicopter transfer to vascular surgery with pre-alert

Suspected ruptured AAA needs rapid transfer to a vascular-capable centre, and helicopter transport is justified when it substantially reduces time and is operationally safe. A non-vascular hospital may add delay without definitive treatment. Large crystalloid volumes can worsen bleeding and do not replace surgical control.

Reference: JRCALC Guidelines; vascular emergency transfer principles