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Bhutan Advanced Cardiac Life Support

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Identify the rhythm and choose the correct answer:

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Identify the rhythm and choose the correct answer:

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Identify the rhythm and choose the correct answer:

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Identify the rhythm and choose the correct answer:

Patient has no pulse with this rhythm.

 

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Identify the rhythm and choose the correct answer:

 

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Identify the rhythm and choose the correct answer:

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Identify the rhythm and choose the correct answer:

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After initiation of CPR and one shock for ventricular fibrillation, this rhythm is present on the next rhythm check. A second shock is given, chest compressions are resumed immediately. An IV is in place and no drug has been given. Bag-mask ventilation are producing visible chest rise.

What is your next intervention?

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A patient become unresponsive. You  are uncertain if the faint pulse is present. The rhythm shown here is seen in the cardiac monitor. An IV is in place. which action do you take next?

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A 50 year old woman, with a background history of congestive cardiac failure (CCF) on Furosemide and digoxin, was attending her follow-up clinic where she suddenly complained of shortness of breath and giddiness. She was quickly sent to the Emergency Department (ED) but unfortunately on the way she became unconscious. On arrival at ED, she remained unarousable. There was no palpable pulse nor BP. ECG tracing showed Torsades de Pointes (polymorphic ventricular tachycardia). What should be the most appropriate further management?
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