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ROSC hypoventilation — DipIMC MCQ

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EasyResuscitationROSC hypoventilationDipIMC

A woman achieves ROSC after PEA arrest but breathes at 6 breaths per minute with snoring respirations and falling oxygen saturation. What is the most appropriate immediate action?

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Correct answer: D — Open the airway and support ventilation immediately

Option D is correct because Post-ROSC airway obstruction and hypoventilation must be corrected to prevent hypoxic deterioration. Option C is less appropriate because oxygen may be supportive, but it does not address the defining time-critical problem first; option E is less appropriate because vascular access is useful, but it should not delay the immediate priority. Option A 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