Newborn bradycardia after ventilation — DipIMC MCQ

Correct answer: C — Start chest compressions with ventilation in a 3:1 ratio and use 100% oxygen

Start chest compressions with ventilation in a 3:1 ratio and use 100% oxygen is the best answer because compressions are indicated when heart rate remains below 60/min despite effective ventilation. Perform a full secondary survey before treating the abnormality is less appropriate because secondary survey follows correction of immediate life threats; 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 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