Paediatric VF arrest — DipIMC MCQ

Correct answer: B — Deliver defibrillation at 4 J/kg and resume CPR

Deliver defibrillation at 4 J/kg and resume CPR is the best answer because paediatric ALS uses weight-based shocks for VF or pulseless VT with immediate CPR resumption. Perform a full secondary survey before treating the abnormality is less appropriate because secondary survey follows correction of immediate life threats; Delay intervention until arrival at hospital is less appropriate because delay is unsafe when a reversible pre-hospital threat is present. Transport without treating the identified time-critical problem 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