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Home » Free Resources » PALS Megacodes » Ventricular Fibrillation Scenario Simulation/span>

Ventricular Fibrillation

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A 15-year-old presents after collapsing at a sporting event.

Initial rhythm demonstrates the following:

PALS 3 ventricular fibrillation

1. What is the initial treatment?*

Amiodarone

CPR until defibrillation is available

Epinephrine

Cardioversion

2. Subsequent to initial defibrillation of the patient, what is the next step in management?*

Defibrillate

Give lidocaine

Cardiovert

Perform 2 minutes of uninterrupted CPR

3. What medications can be used to help resuscitate the patient being treated in this case?*

Atenolol

Adenosine

Atropine

Amiodarone

After initial defibrillation, epinephrine, and CPR, you re-evaluate the patient, who remains pulseless.

The following is demonstrated on rhythm strip:

PALS 3 asystolic

4. What is your next step in management?*

CPR and administration of epinephrine

Therapeutic hypothermia

Cease resuscitative efforts

CPR and defibrillation

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