management of pulseless vt - vf
case : 45 years male with mi (STEMI) , diagnosed and treatment started , during that , patient become unresponsive and gasping , what to do ?
- palpate carotid artery to detect pulse , there is no pulse so ,
-start cpr(first cycle 30:2) , call the staff for DC , adrenaline , cordarone , NS
-place DC paddles on pt chest , if rhythm shockable (vf or pulseless vt ) give 200j (first shock)
-resume cpr (second cycle), check rhythm if shockable give second shock
-resume cpr (third cycle), staff are giving adrenaline 1mg (1cc) + 9NS then push 20NS
-after 5 cycles of cpr , give third shock ,
- give 2amp amiodarone iv and 20cc NS push