Question 166 · LEK · Hypothermia

Indicate the true statement concerning defibrillation performed in a patient in hypothermia (core temperature 27 ºC) with a sudden cardiac arrest due to ventricular fibrillation:

  1. A. it is not recommended to perform defibrillation until the core temperature is ≥ 30 ºC.
  2. B. it is recommended to perform single defibrillation before reaching core temperature ≥ 30 ºC.
  3. C. it is not recommended to perform defibrillation until the core temperature is ≥ 32 ºC.
  4. D. it is recommended to perform triple defibrillation before reaching core temperature ≥ 30 ºC.
  5. E. it is recommended to repeat defibrillation till the effect according to the general algorithm for ventricular fibrillation.
Hint

Guidelines for severe hypothermia (below 30 °C) limit the number of shocks before rewarming, because a cold myocardium responds poorly.

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