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Paediatric respiratory arrest — DipIMC MCQ

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EasyResuscitationPaediatric respiratory arrestDipIMC

A 3-year-old becomes unresponsive and apnoeic in the ambulance. A pulse of 90 bpm is present and cyanosis is developing. What is the most appropriate immediate action?

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

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Correct answer: COpen the airway and provide effective ventilation with oxygen

Option C is correct because Paediatric respiratory arrest with a pulse can progress to cardiac arrest unless ventilation is restored immediately. Option A is less appropriate because oxygen may be supportive, but it does not address the defining time-critical problem first; option D is less appropriate because vascular access is useful, but it should not delay the immediate priority. Option E 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