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Recognition of life extinct — DIPIMC MCQ

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HardScene Safety and MedicolegalRecognition of life extinctDIPIMCDipIMC

A trauma patient has injuries unequivocally incompatible with life, including complete cranial destruction, and no signs of circulation or breathing. What is the appropriate resuscitation decision?

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Correct answer: E — Withhold resuscitation and follow the governed death process

The best answer is “Withhold resuscitation and follow the governed death process”. When objective injuries are unequivocally incompatible with life, resuscitation cannot restore a viable circulation and should be withheld under the applicable service policy. Confirm and document the findings, preserve the scene where required and follow police, coroner and family-care processes. This narrow exception is different from prognostic uncertainty, where resuscitation and treatment of reversible causes should proceed.

Reference: Resuscitation Council UK, 2025 Special circumstances: https://www.resus.org.uk/professional-library/2025-resuscitation-guidelines/special-circumstances-guidelines