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Moderate"B"Perform defibrillation and CPR; epinephrine 1 mg IV every 3-5 min starting after the second defibrillation is recommended. Amiodarone (300 mg then 150 mg) is given after epinephrine for refractory VT/VFnot after the first shock (a). lidocaine is an alternative antiarrhythmic (c) but epinephrine timing is key. atropine and routine bicarbonate are not indicated (d

A 52-year-old with acute sinus tachycardia degenerates to pulseless VT. Defibrillation delivers 200 J biphasic. Rhythm remains shockable. Which drug and timing are correct per current ALS?

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