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CPR quality — DipIMC MCQ

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ModerateResuscitationCPR qualityDipIMC

A 63-year-old man in VF arrest has poor capnography trace and frequent pauses while team members change roles. The mechanical chest compression device is available but not yet attached. What is the most appropriate management?

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Correct answer: A — Prioritise high-quality manual CPR and minimise pauses before considering mechanical CPR

High-quality chest compressions with minimal interruption remain central to ALS. Mechanical CPR may help in selected circumstances but should not create long pauses or delay defibrillation. Ventilation and oxygenation remain important during ALS. The pearl is that technology should support the resuscitation algorithm, not distract from its fundamentals.

Reference: Resuscitation Council UK Adult ALS Guidelines 2025; JRCALC Guidelines 2025