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During ACLS for a 4-Year-Old Child in Ventricular Fibrillation, a Shockable

Question 67

Multiple Choice

During ACLS for a 4-year-old child in ventricular fibrillation, a shockable rhythm persists after five cycles of CPR. At this time, what would you recommend?


A) Switch to synchronous countershock (cardioversion) .
B) Apply one shock (4 J/kg) and resume compressions immediately.
C) Immediately deliver three to five precordial thumps.
D) Get larger paddles and apply more electrolyte gel.

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