Case 1 of 1CardiovascularAdvanced cardiac life support
A 68-year-old man collapses in the waiting room of a family medicine clinic. Staff find him unresponsive, not breathing, and without a palpable carotid pulse, and they start chest compressions. An automated external defibrillator is applied, it identifies ventricular fibrillation, and a single biphasic shock is delivered. The patient has a history of hypertension and a previous myocardial infarction, and takes ramipril and metoprolol.
| Heart rate | No pulse palpable |
| Respiratory rate | Apneic |
| Blood pressure | Not obtainable |
Question 1 of 3
Immediately after the first shock is delivered, which one of the following is the most appropriate next step?
Select 1. (0 / 1 selected)
100%
AInsert an advanced airway first
BDeliver a second shock immediately
CGive amiodarone IV before restarting compressions
DResume chest compressions immediately
EProvide bag-mask ventilation only
FCheck a carotid pulse for up to 10 seconds
GRepeat rhythm analysis immediately
HGive epinephrine IV before restarting compressions
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