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Pregnancy cardiac arrest — DipIMC MCQ

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ModerateResuscitationPregnancy cardiac arrestDipIMC

A woman at approximately 32 weeks' gestation collapses in a shopping centre. CPR has started and the uterus is visibly gravid. What is the most appropriate immediate action?

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

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Correct answer: E — Continue ALS with manual left uterine displacement

Option E is correct because Late pregnancy arrest requires standard ALS with manual uterine displacement to reduce aortocaval compression. Option C 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 B 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: Resuscitation Council UK Guidelines