Shockable rhythm drug timing — DipIMC MCQ
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Correct answer: C — Give adrenaline 1 mg and amiodarone 300 mg after the third shock
Give adrenaline 1 mg and amiodarone 300 mg after the third shock is the best answer because adult ALS gives adrenaline and amiodarone after the third shock in refractory VF or pulseless VT. Delay drug delivery until hospital arrival is less appropriate because ALS drugs are part of established resuscitation when indicated; Give atropine routinely during asystolic arrest is less appropriate because atropine is not routine adult ALS cardiac arrest therapy. Give adrenaline 1 mg before the first shock in VF and Give sodium bicarbonate routinely in every arrest are also suboptimal because they move attention away from the key pre-hospital priority.. The key DipIMC principle is to treat immediate reversible threats, communicate clearly and move the patient toward the right definitive care.
Reference: Resuscitation Council UK Guidelines; JRCALC Guidelines