A patient is in ventricular fibrillation with hypotension, unresponsivenes, peripheral pulses are not felt. What would be the initial management of this patient?: (A) Lignocaine push, (B) Amiodarone push, (C) Atropine push, (D) 200 Joule Defibrillation
Answer is D. Defibrillation. Connect the AED/defibrillator and check for a shockable rhythm. If a shockable rhythm is present, continue CPR while the defibrillator is charging. Deliver one defibrillation shock to the patient (monophasic, 200 J for an adult, 2 J/kg for a child; or equivalent biphasic energy). Ref Harrison 20th edition pg 1421