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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Answer

Start CPR, deliver shock, and consider IV magnesium sulphate if rhythm still persists

Answer

Intubate the patient, give IV magnesium sulphate and then start CPR

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Immediately give magnesium sulphate followed by CPR and defibrillation

Answer

Start CPR, give a synchronized cardioversion and then intubate the patient

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A 50 year old woman, with a background history of congestive cardiac failure (CC...

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