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Major incident triage (MITT) — DIPIMC MCQ

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HardMajor Incident ManagementMajor incident triage (MITT)DIPIMCDipIMC

At a casualty clearing point, a non-ambulant adult has had catastrophic bleeding controlled. They are breathing 28/min, respond to voice and have a palpable radial pulse. Under the NHS Major Incident Triage Tool, what priority should be assigned?

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Correct answer: C — P1 because the respiratory rate is 28/min

The best answer is “P1 because the respiratory rate is 28/min”. MITT assigns P1 to a non-ambulant casualty whose breathing rate does not fall within the 12–23/min route, even when they respond to voice and have a pulse. The tool is designed for rapid, reproducible prioritisation when resources are constrained. Control of catastrophic bleeding is an immediate lifesaving intervention, but it does not remove the need to follow the subsequent physiological triage route.

Reference: NHS England, Major Incident Triage Tool: https://www.england.nhs.uk/long-read/nhs-major-incident-triage-tool-mitt/