skip to main content

Cold water rescue collapse — DipIMC MCQ

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

ModerateEnvironmental MedicineCold water rescue collapseDipIMC

A 45-year-old swimmer is rescued from cold water and collapses while standing on the bank. He is conscious but bradycardic and shivering violently. What is the most appropriate management?

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

Reveal the answer and explanation

Correct answer: E — Lay him flat, insulate and avoid sudden exertion while assessing ABCDE

Lay him flat, insulate and avoid sudden exertion while assessing ABCDE is the best answer because post-rescue collapse can follow cold-water immersion and is reduced by horizontal handling and warming. Use oral analgesia as the main treatment is less appropriate because oral therapy is inadequate or unreliable in major trauma; Immobilise every joint and delay departure for a detailed examination is less appropriate because prolonged packaging can delay definitive care. Give unrestricted crystalloid to normalise blood pressure and Defer treatment until a senior hospital doctor reviews the patient 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: JRCALC Guidelines; UKHSA Heatwave and Cold Weather Plan