Q:

You were engaged in CPR for 3-year-old child found unresponsive in the ward

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You were engaged in CPR for 3-year-old child found unresponsive in the ward. You were performing cycles of 15 chest compressions and 2 breathings alternatively with another medical personal. After 2 min of resuscitation you evaluate the pulse whith shows PEA (pulseless electrical activity)status.The AED already is attached. Of the following,the correct NEXT action is to


  1. givea shock of 0.5 joule/kg
  2. givea shock of 1 joule/kg
  3. givea shock of 2 joules/kg
  4. givea drenaline 0.01mg/kg iv
  5. givea drenaline 0.1mg/kg iv

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(D). Pulseless electrical activity (PEA) is a clinical condition characterized by unresponsiveness and lack of palpable pulse in the presence of organized cardiac electrical activity. In this situation (and in asystole) adrenaline is indicated in cycles of 3. 5 min, considering an advanced airways and reevaluation for the pulse status; if it became shockable give shock of 2 joules/kg. You need to look also for correctable causes (the 6H and 5T). If it became normal that goes for (ROSC) post-cardiac arrest care

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