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Multiple Choice

In pulseless VT, what is the immediate next step after confirming the rhythm?

Pulseless ventricular tachycardia is a shockable rhythm, so the priority is to deliver a defibrillating shock as soon as a defibrillator is ready. This abrupt interruption of the chaotic electrical activity gives the heart a chance to restart with an organized, perfusing rhythm. After delivering the shock, immediately begin or resume high-quality CPR for about two minutes, then recheck the rhythm and pulse and proceed with the next steps if needed. Medications like epinephrine or amiodarone are considered after attempts at defibrillation, not as the immediate first action. Use the defibrillator’s recommended energy setting (360 J is a common value on older monophasic units; biphasic devices use lower energies).

Pulseless ventricular tachycardia is a shockable rhythm, so the priority is to deliver a defibrillating shock as soon as a defibrillator is ready. This abrupt interruption of the chaotic electrical activity gives the heart a chance to restart with an organized, perfusing rhythm. After delivering the shock, immediately begin or resume high-quality CPR for about two minutes, then recheck the rhythm and pulse and proceed with the next steps if needed. Medications like epinephrine or amiodarone are considered after attempts at defibrillation, not as the immediate first action. Use the defibrillator’s recommended energy setting (360 J is a common value on older monophasic units; biphasic devices use lower energies).