Post-arrest STEMI — DipIMC MCQ

Correct answer: B — Transport directly to a centre capable of emergency coronary intervention

Option B is correct because Post-arrest ST elevation suggests coronary occlusion requiring PCI-capable post-arrest care. Option C is less appropriate because the clinical risk exceeds that destination or timeframe; option E is less appropriate because pre-alert is needed to mobilise the correct receiving team. Option A is less appropriate because watchful waiting risks deterioration or delays definitive care; option D is less appropriate because unmonitored private transport is unsafe for this risk profile. 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