4th May 2025

A 50-year-old man presents to a local district general hospital with severe crushing chest pain.

A 50-year-old man presents to a local district general hospital with severe crushing chest pain. He is diagnosed with an NSTEMI. He gets transferred over to ED resus as he is looking cold and clammy and feeling lightheaded. A peri-arrest call is put out and defibrillator pads are put on. This reveals a broad complex tachycardia at a ventricular rate of 170 bpm and a blood pressure of 69/40mmHg. The femoral pulse is faintly palpable as well.

What is the next best course of action?

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