Question

A 62-year-old man has a witnessed out-of-hospital cardiac arrest with an initial rhythm of ventricular fibrillation. After two shocks and ongoing CPR, sinus rhythm has not been restored. According to ANZCOR adult ALS guidelines, what is the recommended timing and dose of adrenaline?

Accepted Answer

1 mg adrenaline IV after the second shock, then every second cycle of CPR (approximately every 3-5 minutes)

Answer

Adrenaline is not recommended in shockable rhythms

Answer

1 mg adrenaline IV as soon as IV access is obtained, then every 1 minute

Answer

10 mg adrenaline IV as a single bolus

Answer

0.1 mg adrenaline IV every 10 minutes

Practice question

A 62-year-old man has a witnessed out-of-hospital cardiac arrest with an initial rhythm of ventricular fibrillation. After two shocks and ongoing CPR, sinus rhythm has not been restored. According to ANZCOR adult ALS guidelines, what is the recommended timing and dose of adrenaline?