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Major trauma destination — DIPIMC MCQ

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ModerateRetrieval and TransportMajor trauma destinationDIPIMCDipIMC

A multi-system trauma patient meets major trauma triage criteria. The nearest hospital is a trauma unit 10 minutes away, while the major trauma centre is 35 minutes by land or 15 minutes by air.

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

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Correct answer: D — Transfer directly to the major trauma centre, using air transport to minimise the time.

A patient meeting major trauma triage criteria should bypass to a major trauma centre where the time penalty is acceptable, and air transport can make a direct transfer feasible. Delivering the patient to a trauma unit first introduces a secondary transfer and delays definitive care. The destination is decided by triage tools and network protocols, not by preference.

Reference: NICE NG39 (Major trauma)