Paediatric non-shockable arrest — DipIMC MCQ

Instant feedback + full explanation. One question, done properly.

ModerateResuscitationPaediatric non-shockable arrestDipIMC

A 4-year-old is pulled from a pond and is pulseless with asystole on the monitor. Ventilation and compressions have started and IO access is achieved. What is the most appropriate drug/dose?

Educational content. Not a substitute for clinical judgement or local policy.

Reveal the answer and explanation

Correct answer: D — Give adrenaline 10 micrograms/kg intravenously or intraosseously

Give adrenaline 10 micrograms/kg intravenously or intraosseously is the best answer because paediatric ALS gives adrenaline 10 micrograms/kg for non-shockable cardiac arrest once access is obtained. Give atropine routinely during asystolic arrest is less appropriate because atropine is not routine adult ALS cardiac arrest therapy; Give sodium bicarbonate routinely in every arrest is less appropriate because bicarbonate is reserved for selected causes such as hyperkalaemia or TCA overdose. Delay drug delivery until hospital arrival and Give adrenaline 1 mg before the first shock in VF 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