Sun31October0735PM 18

A 67-year-old man with insulin-dependent diabetes with a broad complex pulseless tachyarrhythmia (with a protected airway) has just been defibrillated for the third time without return of cardiac output. CPR is immediately resumed and adrenaline administered.

Which of the following is the next step in the management of the arrest?

(Please select 1 option)

Adrenaline 1 mg only

Removal of oxygen and then DC shock

Lidocaine 100 mg

Amiodarone 300 mg Correct

DC shock

Explanation

The next step is amiodarone 300 mg intravenously (i.e. given after the third shock). If amiodarone is not available lidocaine is a suitable alternative.

Further Reading:

Resuscitation Council (UK). Adult Advanced Life Support.

Answer Statistics

1

6%

2

1%

3

1%

4

88%

5

6%

Times answered: 274