Adult asystolic arrest — DipIMC MCQ
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Correct answer: B — Give adrenaline 1 mg intravenously or intraosseously as soon as access is available
Give adrenaline 1 mg intravenously or intraosseously as soon as access is available is the best answer because adrenaline is given promptly in non-shockable adult cardiac arrest once IV or IO access is obtained. Give adrenaline 1 mg before the first shock in VF is less appropriate because adrenaline is given after the third shock in shockable adult cardiac arrest; Delay drug delivery until hospital arrival is less appropriate because ALS drugs are part of established resuscitation when indicated. Give atropine routinely during asystolic arrest and Give sodium bicarbonate routinely in every arrest 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