Choking adult unconscious — DipIMC MCQ

Correct answer: D — Start CPR and look in the mouth before ventilation attempts

Start CPR and look in the mouth before ventilation attempts is the best answer because when choking leads to unconsciousness, CPR is started and visible obstruction removed if seen. Transport without treating the identified time-critical problem is less appropriate because movement alone may not reverse the immediate physiology; Give a large crystalloid bolus before controlling the injury is less appropriate because fluid cannot replace early control of bleeding or ventilation problems. Perform a full secondary survey before treating the abnormality and Delay intervention until arrival at hospital 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