Pulseless ventricular tachycardia — DipIMC MCQ

Correct answer: A — Defibrillate as pulseless ventricular tachycardia and resume CPR

Defibrillate as pulseless ventricular tachycardia and resume CPR is the best answer because pulseless VT is managed as a shockable cardiac arrest rhythm. Wait for imaging before intervening is less appropriate because imaging is not available or appropriate before treating a clinical life threat; 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