Do not attempt CPR documentation — DipIMC MCQ

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EasyScene Safety and MedicolegalDo not attempt CPR documentationDipIMC

A care home resident is found in cardiac arrest with a valid DNACPR form matching her identity. Staff confirm the form is current. What is the most appropriate management?

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Correct answer: A — Do not start CPR and document the decision with the form details

Do not start CPR and document the decision with the form details is the best answer because a valid DNACPR decision should be respected and clearly documented. Use oral analgesia as the main treatment is less appropriate because oral therapy is inadequate or unreliable in major trauma; Provide reassurance and reassess after transport is less appropriate because reassurance is inadequate for an evolving major trauma problem. Give unrestricted crystalloid to normalise blood pressure and Immobilise every joint and delay departure for a detailed examination 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