Post-ROSC care — DipIMC MCQ

Correct answer: B — Optimise oxygenation, ventilation and blood pressure and transport to an appropriate cardiac arrest centre

Optimise oxygenation, ventilation and blood pressure and transport to an appropriate cardiac arrest centre is the best answer because post-ROSC care focuses on avoiding hypoxia, hyperoxia, hypotension and delayed definitive assessment. Transport without treating the identified time-critical problem is less appropriate because movement alone may not reverse the immediate physiology; Perform a full secondary survey before treating the abnormality is less appropriate because secondary survey follows correction of immediate life threats. Wait for imaging before intervening and Give a large crystalloid bolus before controlling the injury 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