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Transport after pre-hospital anaesthesia — DipIMC MCQ

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HardRetrieval MedicineTransport after pre-hospital anaesthesiaDipIMC

A 33-year-old with polytrauma has undergone pre-hospital emergency anaesthesia. Ten minutes before departure, blood pressure is 82/44, SpO2 96%, end-tidal CO2 4.8 kPa and the ventilator, suction and vasopressor infusion are ready. What is the most appropriate management?

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Correct answer: AOptimise haemodynamics before departure while maintaining time-critical transport

Intubation does not make a patient transport-ready; haemodynamics, ventilation, monitoring and rescue equipment must be optimised before movement. Departing with untreated shock risks deterioration en route. Optimisation should be focused and time-conscious, not an open-ended delay.

Reference: ATACC; Association of Anaesthetists transfer guidance