ABEM EM Practice Questions - American Board Of Emergency Medicine Primary Certification (Qualifying + Certifying) Exam

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A 58-year-old man is in cardiac arrest with an initial rhythm of ventricular fibrillation. After 2 minutes of high-quality CPR and one defibrillation, VF persists. What is the next best step?

Resume CPR for 2 minutes and administer epinephrine 1 mg IV; defibrillate again at the end of the cycle Administer 300 mg amiodarone immediately and hold CPR Cardiovert at 100 J synchronized Give sodium bicarbonate 1 mEq/kg

Correct Answer:

Resume CPR for 2 minutes and administer epinephrine 1 mg IV; defibrillate again at the end of the cycle

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