Cardiac arrest destination — DipIMC MCQ

Correct answer: D — Convey directly to a cardiac arrest centre with cath lab capability

Explanation lettering: B = shown as A · A = shown as B

D is correct: Post-ROSC STEMI requires rapid transfer to a centre capable of coronary reperfusion and post-arrest care. A is less suitable because it does not address the discriminator in the vignette; B is less suitable because it does not address the discriminator in the vignette; C is less suitable because it does not address the discriminator in the vignette; E is less suitable because it moves the patient before the decisive threat or destination issue is addressed. 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