A 48-year-old male has a witnessed cardiac arrest at a football match. The AED delivers a shock for VF. After 2 minutes of CPR, the rhythm check shows...

Question

A 48-year-old male has a witnessed cardiac arrest at a football match. The AED delivers a shock for VF. After 2 minutes of CPR, the rhythm check shows organised QRS complexes on the monitor. The patient has no palpable pulse. What is this rhythm and what is the immediate management?

Accepted Answer

Pulseless electrical activity - continue CPR and administer adrenaline 1 mg IV

Answer

Ventricular tachycardia - deliver another shock

Answer

Normal sinus rhythm - begin post-resuscitation care

Answer

Artefact - check lead placement

Answer

Supraventricular tachycardia - administer adenosine

uk-dipimc MCQ (SBA): Pulseless Electrical Activity

A 48-year-old male has a witnessed cardiac arrest at a football match. The AED delivers a shock for VF. After 2 minutes of CPR, the rhythm check shows organised QRS complexes on the monitor. The patient has no palpable pulse. What is this rhythm and what is the immediate management?