5th May 2025

Miss Boyd is a 23-year-old previously fit and well young woman who collapsed on a train platform and was brought into the Emergency Department by ambulance.

Miss Boyd is a 23-year-old previously fit and well young woman who collapsed on a train platform and was brought into the Emergency Department by ambulance. In resus, her blood pressure became unrecordable and CPR was commenced with alternative cycles of adrenaline for suspected pulseless electrical activity (PEA). You attend as the medical registrar and note the tracing on the cardiac monitor shows intermittent p-waves with no QRS complexes. You suspect she has gone into ventricular standstill. What is the most appropriate next step in her management?

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