Refractory VF / pVT

≥3 shocks without ROSC

First 30 seconds

  1. 1Optimise CPR quality (depth 5–6 cm, ≥100/min)
  2. 2Change defib pads (anterior–posterior)
  3. 3Amiodarone 300 mg after 3rd shock, 150 mg after 5th
A

Airway

  • Patency, protect
  • Adjuncts / definitive airway
B

Breathing

  • RR, SpO₂
  • O₂ to target sats
C

Circulation

  • HR, BP, IV access
  • Fluids/vasopressors
D

Disability

  • AVPU/GCS, pupils, glucose
E

Exposure

  • Full exposure, bleeding, source
View flowchart algorithm

Related in WardRound

WardRound

WardRound

Clinical Decisions in Seconds