Pulseless VT is a shockable rhythm. Immediate defibrillation is the priority, followed by CPR and epinephrine administration.

For biphasic defibrillators, the initial dose is 120-200J. For monophasic defibrillators, use 360J.

Atropine is the first-line treatment for symptomatic bradycardia (1 mg IV every 3-5 min, max 3 mg). If ineffective, pacing or dopamine/epinephrine infusion may be required.

VF and pulseless VT are the only two rhythms that require immediate defibrillation. PEA and asystole require CPR and epinephrine but are not shockable.

The first step in ECG analysis is assessing the rate and rhythm to determine if it's bradycardia, tachycardia, or an arrest rhythm (VF/pVT, asystole, PEA). More detailed interpretation follows after this initial assessment.

Amiodarone is the preferred antiarrhythmic for stable monomorphic VT, given as 150 mg IV over 10 minutes.

Peaked T waves are the earliest sign of hyperkalemia, progressing to QRS widening and sine-wave patterns.

VT presents with a wide QRS (>0.12s), while SVT has a narrow QRS unless aberrant conduction is present.

Atrial fibrillation is characterized by an irregularly irregular rhythm with no distinct P waves.