Question

You are the medical SHO called to a cardiac arrest on the ward. A 60-year-old man is unresponsive and not breathing normally. The monitor shows ventricular fibrillation. A shock has been delivered and 2 minutes of CPR completed. The rhythm is still ventricular fibrillation. According to Resuscitation Council UK guidelines, what is the next most appropriate step?

Accepted Answer

Deliver a second shock, then resume CPR for 2 minutes

Answer

Give 1 mg intravenous Adrenaline immediately and then repeat every minute

Answer

Stop CPR and declare death

Answer

Give a 300 mg intravenous Amiodarone bolus before any further shocks

Answer

Check blood glucose and delay further shocks until corrected

Practice question