A 66-year-old with chest pain deteriorates in the ambulance. The monitor shows regular broad-complex tachycardia at 190/min, he becomes unresponsive

Question

A 66-year-old with chest pain deteriorates in the ambulance. The monitor shows regular broad-complex tachycardia at 190/min, he becomes unresponsive and pulseless, and the defibrillator is charged. What is the most appropriate immediate action?

Accepted Answer

Deliver an unsynchronised shock and resume CPR immediately

Answer

Give adenosine before any shock

Answer

Check a 12-lead ECG during the arrest

Answer

Attempt synchronised cardioversion before compressions

Answer

Start transport and delay defibrillation until hospital

Pulseless VT during transfer — DipIMC MCQ

A 66-year-old with chest pain deteriorates in the ambulance. The monitor shows regular broad-complex tachycardia at 190/min, he becomes unresponsive and pulseless, and the defibrillator is charged. What is the most appropriate immediate action?