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Dynamic risk assessment and scene safety: DipIMC practice questions

PHEM curriculum unit A.5 · Cross-cutting theme A: Operational Practice

The DipIMC is blueprinted against phase 1 of the UK Pre-hospital Emergency Medicine (PHEM) curriculum. This page covers unit A.5, Apply principles of dynamic risk assessment at incident scenes.

Below is one free practice question from the DipIMC.Ninja bank, in the Part A single best answer format. Every answer names the textbook page, guideline or statute it was written from, so you can check it rather than take it on trust. The bank holds 16 questions on this unit.

Question 1 · Scene Safety & Extrication · Easy

You are called to a casualty on an electrified railway line. What must happen before you go onto the track?

  1. AConfirm that trains have been stopped and the traction current switched off
  2. BLook carefully in both directions, then cross the track quickly between trains
  3. CAsk a bystander or the train driver whether any more trains are running
  4. DAssume the traction current is off once the train involved has stopped
  5. EWait for the police to arrive and then go onto the track alongside them
Show answer

Where this comes from

  • Oxford Handbook of Pre-Hospital Care
    • Ch. 9 The hostile environment · Electrical injuries: railway incidents · p. 560“Always ensure the electrical system is turned off.”
    • Ch. 9 The hostile environment · Electrical injuries: railway incidents · p. 560“routinely turned back on after 20 minutes”
  • ABC of Prehospital Emergency Medicinep. 180Ch. 33 Emergency Preparedness: Major Incident Management · Table 33.4 Incident types and safety considerations“Stopping other trains, Live overhead or third rail”
scene-003 · Scene Safety & Extrication · Scene Safety · Easy · v4

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