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 (car-dioversion).
b. Apply one shock (4 J/kg) and resume compressions immediately.
c. Immediately deliver three to five precor-dial thumps.
d. Get larger paddles and apply more elec-trolyte gel.

ANS: B
For children older than 1 year, if a shockable rhythm persists after five cycles of CPR, the rescuer should give one shock (4 J/kg) and resume compressions immediately.

Health Professions

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