A 35-year-old male has a cardiac arrest while swimming in a cold lake. Bystanders pull him out and start CPR. On arrival, the AED shows VF. The patien...

Question

A 35-year-old male has a cardiac arrest while swimming in a cold lake. Bystanders pull him out and start CPR. On arrival, the AED shows VF. The patient has been in the water for approximately 15 minutes and is cold to touch. Per RCUK 2025, what is the approach to defibrillation?

Accepted Answer

Defibrillate as per standard protocol - there is no reason to withhold defibrillation in a cold drowning victim with a shockable rhythm

Answer

Withhold defibrillation until the patient is rewarmed to 30°C

Answer

Defibrillation is contraindicated in drowning victims

Answer

Only attempt defibrillation after 30 minutes of CPR

Answer

Deliver the shock at half the normal energy

uk-dipimc MCQ (SBA): Defibrillation in Cold Drowning

A 35-year-old male has a cardiac arrest while swimming in a cold lake. Bystanders pull him out and start CPR. On arrival, the AED shows VF. The patient has been in the water for approximately 15 minutes and is cold to touch. Per RCUK 2025, what is the approach to defibrillation?