ROSC triage — DipIMC MCQ
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Correct answer: D — P1 / immediate
Explanation lettering: B = shown as A · D = shown as B · E = shown as C · C = shown as D · A = shown as E
C is correct: Unconscious post-ROSC patients with shock require immediate priority and rapid evacuation. A is less suitable because the stem does not describe persistent apnoea or injuries incompatible with life; B is less suitable because P2 is urgent but not the best category for the physiology described; D is less suitable because the patient has clinically significant illness or injury; E is less suitable because P3 is for delayed casualties, usually walking or physiologically stable. The most tempting alternative is therefore suboptimal because it either delays the time-critical pre-hospital intervention or sends the patient to the wrong level of care. The key DipIMC principle is focused cABCDE decision-making with early pre-alert, triage or retrieval escalation when the scene physiology demands it.
Reference: Resuscitation Council UK Guidelines 2025; JRCALC Guidelines