What is the initial treatment protocol for V-fib/Pulseless V-tach in adults?

The initial treatment protocol for ventricular fibrillation (V-fib) or pulseless ventricular tachycardia (V-tach) in adults focuses first on providing lifesaving measures. Administering cardiopulmonary resuscitation (CPR) is crucial because it helps maintain blood flow to vital organs while addressing the underlying cardiac issue. Checking the rhythm is also essential to confirm that the patient is indeed in V-fib or pulseless V-tach, as this will guide further interventions, such as defibrillation.

The priority is to ensure effective CPR until advanced cardiac life support (ACLS) protocols can be implemented, which include defibrillation and advanced airway management. Immediate recognition and treatment of these life-threatening arrhythmias are critical, as the chances of survival diminish rapidly with each passing minute without appropriate intervention.

Other options presented are not suitable as first-line treatments. Transporting the patient to the nearest hospital, while ultimately necessary, cannot occur until the patient’s immediate life-threatening condition is addressed. Determining the patient's history before treatment is inappropriate in an emergency situation, as the focus should remain on stabilizing the patient. Starting IV fluids is also not the immediate priority; addressing the cardiac rhythm with CPR and defibrillation takes