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Electrocution arrest — DipIMC MCQ

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HardResuscitationElectrocution arrestDipIMC

After the electricity provider confirms isolation, a high-voltage casualty is pulseless and an AED is immediately available. What should the team do?

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Correct answer: D — Start CPR and early rhythm analysis, defibrillating when indicated

The best answer is “Start CPR and early rhythm analysis, defibrillating when indicated”. Once the electrical hazard is controlled, begin standard resuscitation immediately. Electrical injury can cause ventricular fibrillation, so early rhythm analysis and defibrillation are important while high-quality CPR and reversible-cause treatment continue. After circulation priorities, assess for occult deep tissue injury, burns, trauma from a fall and rhabdomyolysis. Burn documentation and fluid planning must not delay ALS.

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