Try it
Anaesthesia · Critical care, resuscitation, and emergency principles: curriculum recognition
Sample itemA patient with a severe head injury is to be moved to a neurosurgical centre by ambulance. Which principle applies?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
D. Stabilise airway, breathing and circulation before departure
Transfer should follow resuscitation and stabilisation, with the airway secured, ventilation controlled, circulation supported and monitoring maintained to the same standard as in the hospital. Delay for complete recovery is not needed.
Option by option
A. Remove invasive monitoring to simplify the journey
Monitoring must continue during transfer.
B. Depart at once and stabilise on arrival
Leaving unstable exposes the patient to deterioration with limited facilities.
C. Wait until the patient is off all vasoactive drugs
Many patients are transferred on vasoactive drugs and waiting is not required.
D. Stabilise airway, breathing and circulation before departure (correct)
Correct. Stabilise first, then move with continuous monitoring.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
More Anaesthesia questions
- Critical care, resuscitation, and emergency principles: curriculum recognitionAfter 30 mL/kg of crystalloid for pneumonia with infection, a patient still needs noradr…
- Critical care, resuscitation, and emergency principles: curriculum recognitionA young man with a stab wound to the abdomen has a heart rate of 135 per minute, a blood…
- Critical care, resuscitation, and emergency principles: curriculum recognitionA patient with a stab wound to the chest has hypotension, distended neck veins, absent b…
- Critical care, resuscitation, and emergency principles: curriculum recognitionA patient with pneumonia breathing room air has a PaO2 of 52 mmHg, a PaCO2 of 30 mmHg an…