Question

A 62-year-old man collapses in the emergency department waiting room. He is unresponsive and pulseless. The monitor shows ventricular fibrillation. After commencing high-quality CPR, a biphasic shock of 200 J is delivered and CPR is resumed. The rhythm remains VF after the first shock. According to current ANZCOR adult advanced life support guidelines, when should the first dose of Adrenaline 1 mg IV be given?

Accepted Answer

After the second defibrillation shock, during the subsequent CPR cycle

Answer

Immediately on recognition of cardiac arrest, before defibrillation

Answer

After the first defibrillation shock, during the next CPR cycle

Answer

Only after three failed defibrillation attempts

Answer

Adrenaline is no longer recommended in ventricular fibrillation cardiac arrest

Practice question