A patient presents with no pulse, and the ECG shows ventricular fibrillation. What is the next appropriate step?

Options

1. Defibrillate, check pulse and then perform CPR
2. Cardioversion
3. Defibrillate, perform CPR, and then check the pulse
4. Administer epinephrine

Correct Answer

Defibrillate, perform CPR, and then check the pulse

Explanation

According to ACLS guidelines, for ventricular fibrillation, immediate defibrillation should be performed, followed by CPR for 2 minutes before checking the pulse. This minimizes interruptions in chest compressions.

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