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Post-ROSC oxygen — DipIMC MCQ

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ModerateResuscitationPost-ROSC oxygenDipIMC

A man has ROSC after witnessed VF arrest. He is breathing spontaneously with SpO2 100% on high-flow oxygen and remains unconscious. What is the most appropriate management?

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Correct answer: BTitrate oxygen to maintain saturations around 94-98%

Option B is correct because Post-ROSC oxygen should be titrated to avoid both hypoxaemia and unnecessary hyperoxaemia. Option E is less appropriate because watchful waiting risks deterioration or delays definitive care; option C is less appropriate because the clinical risk exceeds that destination or timeframe. Option D is less appropriate because it is plausible in a different scenario but suboptimal for the features described; option A 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