Adult VF arrest after collapse — DipIMC MCQ

Correct answer: D — Deliver a shock and immediately resume chest compressions

Deliver a shock and immediately resume chest compressions is the best answer because defibrillation is the priority intervention for VF or pulseless VT with immediate CPR resumption. Transport without treating the identified time-critical problem is less appropriate because movement alone may not reverse the immediate physiology; Delay intervention until arrival at hospital is less appropriate because delay is unsafe when a reversible pre-hospital threat is present. Give a large crystalloid bolus before controlling the injury and Wait for imaging before intervening are also suboptimal because they move attention away from the key pre-hospital priority.. The key DipIMC principle is to treat immediate reversible threats, communicate clearly and move the patient toward the right definitive care.

Reference: Resuscitation Council UK Guidelines; JRCALC Guidelines