TEME Practice Questions - TEME - Título De Especialista Em Medicina De Emergência (ABRAMEDE, Brazil) Exam

Access More Questions

A 62-year-old female experiences out-of-hospital cardiac arrest with refractory ventricular fibrillation (VF). After 3 standard defibrillation shocks (200 J biphasic), 1 mg of epinephrine IV, and 300 mg of amiodarone IV, the rhythm remains coarse VF. High-quality CPR is ongoing. According to advanced emergency resuscitation strategies for refractory VF (DOSE VF trial), what is the most appropriate next intervention?

Dual sequential external defibrillation (DSED) or vector change (VC) defibrillation. Immediate administration of high-dose intravenous calcium chloride (2 g). Administration of high-dose vasopressin (40 IU) replacing all further epinephrine. Cessation of chest compressions for a 60-second rhythm observation period.

Correct Answer:

Dual sequential external defibrillation (DSED) or vector change (VC) defibrillation.

Access more questions from this quiz

Continue to TEME Practice Questions - TEME - Título de Especialista em Medicina de Emergência (ABRAMEDE, Brazil) Exam for more practice questions and the full quiz experience.

Access More Questions