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Your Patient Is a 13 Year-Old Male Drowning Victim

Question 17

Multiple Choice

Your patient is a 13 year-old male drowning victim. He was initially in cardiac arrest with a pulseless, wide-complex bradycardia. He is intubated and being ventilated with supplemental oxygen. After CPR and intubation, the patient is now in ventricular tachycardia with a weak radial pulse. Which of the following would be an appropriate treatment for this patient?


A) Amiodarone, 5 mg/kg IV push
B) Lidocaine, 3 mg/kg IV bolus, followed by a 3 mg/minute drip
C) Procainamide, 20 mg per minute, up to 800 mg
D) Synchronized cardioversion starting at 0.5-1.0 joules/kg

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