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Remote pulseless VT — DipIMC MCQ

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ModerateResuscitationRemote pulseless VTDipIMC

A walker arrests on a remote path and the monitor shows pulseless VT. A shock has been delivered and helicopter evacuation will take 20 minutes. What is the most appropriate transport decision?

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

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Correct answer: CContinue ALS on scene until safe evacuation with ongoing resuscitation is possible

Option C is correct because Remote arrest care balances early ALS and defibrillation with safe packaging for evacuation. Option E is less appropriate because the clinical risk exceeds that destination or timeframe; option B is less appropriate because pre-alert is needed to mobilise the correct receiving team. Option D is less appropriate because watchful waiting risks deterioration or delays definitive care; option A 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