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Multiple Choice

In the avalanche rescue scenario, which action aligns with recommended defibrillation energy?

Delivering the first defibrillation shock at 200 joules matches standard practice for a biphasic defibrillator in an adult with a shockable rhythm. This energy level strikes a balance between effectively terminating the malignant rhythm and minimizing myocardial injury. In avalanche rescues, even with hypothermia considerations, you follow device guidelines for shock energy and continue CPR while rewarming; the key action here is to deliver the shock at the recommended energy. The other options don’t address the shockable rhythm: stopping resuscitation prematurely, providing only oxygen, or transporting without attempting defibrillation would miss a potentially life-saving intervention.

Delivering the first defibrillation shock at 200 joules matches standard practice for a biphasic defibrillator in an adult with a shockable rhythm. This energy level strikes a balance between effectively terminating the malignant rhythm and minimizing myocardial injury. In avalanche rescues, even with hypothermia considerations, you follow device guidelines for shock energy and continue CPR while rewarming; the key action here is to deliver the shock at the recommended energy.

The other options don’t address the shockable rhythm: stopping resuscitation prematurely, providing only oxygen, or transporting without attempting defibrillation would miss a potentially life-saving intervention.