28th July 2023

A 79 year old man was found unresponsive by his neighbour, who rang for an ambulance.

A 79 year old man was found unresponsive by his neighbour, who rang for an ambulance. On arrival, the paramedics noticed that his house was very cold. Observations: temperature 31 degrees Celsius, BP 87/54mmHg, respiratory rate 9, heart rate 44bpm, GCS 10/15. Fingerpick glucose was 5.1. He was rushed to A&E. He was promptly attached to a cardiac monitor. His last ECG showed NSR, rate 102, and QT interval 520ms. You are reviewing him in A&E resuscitation and note that he goes into polymorphic ventricular tachycardia on the cardiac monitor. His pulse is palpable.

What is the most appropriate treatment?

Select the SINGLE most appropriate option from the list below. Select ONE option only.