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CPR quality during extrication — DipIMC MCQ

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ModerateResuscitationCPR quality during extricationDipIMC

A trapped driver loses pulses during extrication. Access permits compressions but not full removal for eight minutes and the monitor shows PEA. What is the most appropriate immediate action?

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Correct answer: BStart chest compressions in the available position while addressing reversible causes

Start chest compressions in the available position while addressing reversible causes is the best answer because CPR should begin as soon as feasible while extrication and reversible-cause treatment continue. 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 Perform a full secondary survey before treating the abnormality 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; ATACC Manual