skip to main content

Paediatric hypovolaemic shock — DipIMC MCQ

Instant feedback + full explanation. One question, done properly.

ModeratePaediatric and Obstetric EmergenciesPaediatric hypovolaemic shockDipIMC

A 10-month-old infant is lethargic after vomiting and diarrhoea. Capillary refill is 5 seconds, mucous membranes are dry and peripheral intravenous access has failed twice. What is the most appropriate immediate action?

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

Reveal the answer and explanation

Correct answer: B — Establish intra-osseous access for urgent fluid resuscitation if within scope

A shocked infant with failed IV access needs prompt intra-osseous access by trained clinicians. Oral rehydration is inappropriate in shock and reduced consciousness. Repeated cannulation attempts delay resuscitation and transfer. The pearl is that IO access is a practical lifesaving route in paediatric emergencies.

Reference: Resuscitation Council UK Paediatric Guidelines 2025; JRCALC Guidelines 2025