MRCS PART A · TRAUMA & BURNS

Trauma & burns decisions

Find the threat. Act in time. Reassess the rescue.

Examination practice · 6 fictional adult patients · session-only progress · no patient information

Choose a patient

Patient 1 / 60 completed

A lucid patient becomes drowsy

A 28-year-old struck their head in a cycling collision. Initially talking normally, they are now increasingly drowsy. A colleague attributes this to alcohol. Choose information while urgent reassessment is underway.

1. Choose the information you need

Only one answer opens at a time. Questions do not alter the patient's facts. In a real emergency, assessment and escalation run together.

2. Which next action best fits the available evidence?A. Observe until sober before deciding on imagingB. Call the senior trauma/airway team, reassess ABCDE, obtain urgent CT as soon as safe and discuss deterioration with neurosurgeryC. Give sedation to make the neurological examination easierD. Use an earlier normal GCS to justify dischargeE. Wait for both pupils to become abnormal

Sources and scope

Guidance checked. Independent MRCS practice, not official exam material or a bedside protocol. Verify current guidance and local emergency procedures. Doses and techniques not specified here need competent clinical prescribing and assessment.