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Opioid respiratory arrest — DipIMC MCQ

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ModerateResuscitationOpioid respiratory arrestDipIMC

A man is cyanosed with pinpoint pupils and gasping respirations after heroin use. A pulse is present and bag-valve-mask equipment is available. What is the most appropriate immediate action?

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Correct answer: EProvide ventilatory support and give naloxone according to protocol

Option E is correct because Ventilation is the immediate life-saving treatment in opioid respiratory failure, with naloxone to reverse toxicity. Option B is less appropriate because oxygen may be supportive, but it does not address the defining time-critical problem first; option A is less appropriate because vascular access is useful, but it should not delay the immediate priority. Option D is less appropriate because it is plausible in a different scenario but suboptimal for the features described; option C is less appropriate because delay would increase clinical risk. Clinical pearl: in DipIMC-style questions, the best answer is the intervention that changes outcome earliest in the pre-hospital phase.

Reference: JRCALC Guidelines