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Failed intubation during arrest — DipIMC MCQ

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ModerateResuscitationFailed intubation during arrestDipIMC

During cardiac arrest, tracheal intubation fails twice and oxygenation is falling. A supraglottic airway is immediately available. What is the most appropriate management?

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

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Correct answer: AUse a supraglottic airway and resume oxygenation-focused CPR

Option A is correct because After failed intubation, restoring oxygenation with a supraglottic airway is the priority. Option C is less appropriate because watchful waiting risks deterioration or delays definitive care; option B is less appropriate because the clinical risk exceeds that destination or timeframe. Option E is less appropriate because it is plausible in a different scenario but suboptimal for the features described; option D is less appropriate because analgesia is important but not sufficient as the primary intervention. 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