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Mechanical CPR transfer — DipIMC MCQ

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HardResuscitationMechanical CPR transferDipIMC

A patient has refractory ventricular fibrillation with intermittent ROSC. A cardiac-arrest centre has accepted direct transfer, but high-quality manual compressions cannot be maintained safely while the vehicle is moving. The crew is trained with a mechanical device. What is the best plan?

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

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Correct answer: C — Apply mechanical CPR for the selected transfer and monitor its quality

The best answer is “Apply mechanical CPR for the selected transfer and monitor its quality”. Mechanical CPR is not superior to high-quality manual CPR as a routine replacement. It is reasonable in a selected pathway when ongoing compressions are required and manual delivery is impractical or unsafe during transport or intervention. Device placement must minimise interruption, and the team must continue rhythm, airway, reversible-cause and destination management.

Reference: Resuscitation Council UK 2025, Special circumstances: https://www.resus.org.uk/professional-library/2025-resuscitation-guidelines/special-circumstances-guidelines