Question 1

A cardiac arrest call has been put out for Orlagh, a 75-year-old woman who was admitted to hospital last night with pneumonia.

You are the first member of the crash team to arrive. Ward staff have started chest compressions on Orlagh, and have connected the defibrillator pads.

You request a pause in compressions to check the rhythm. The monitor shows the following:

What is the next step in Orlagh’s management?

300mg amiodarone IV

Unsynchronised cardioversion (defibrillation)

1mg adrenaline IV

Check for signs of return of spontaneous circulation – e.g. pulses

None of the above are indicated in this case