Question: When attending to a medical VSA, where our monitor energy settings are preprogrammed (120J, 150J, 200J, 200J), if I happen to dump the first charge (non-shockable rhythm), should my second charge be at 120J or 150J? This second charge would be the first shock (assuming shockable rhythm), but the second analysis.

Doses are increased based on prior shocks delivered, not based on prior number of analyses. For example, if you were attending to a patient who presented in PEA, and you did two analyses that were both non-shockable, and then on the third analysis the patient was in VT, you would shock at the dose appropriate for the first shock, since even though this is the third analysis, it is still the first shock.

Cardiac/Circulation,Medical Cardiac Arrest

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