Q:
Regarding protocol "2020 - Adult Pulseless Arrest": Do we need to wait to complete 3 rounds of epinephrine before administering amiodarone?
A:
Amiodarone is indicated for shock-refractory VT/VF, so you would only give after shock has failed to convert. Having said that, you may give amiodarone at any time AFTER you have attempted shock and CPR with adequate ventilation. NEVER delay proven therapies such as CPR, defibrillation and appropriate oxygenation and ventilation for unproven therapies such as amiodarone, which has NOT been shown to improve long term survival or neurological outcome.