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OCR: Assess ABCs Perform CPR until defibrillator attached VF/VT present or monito Defibrillate up to3 times if needed for persistent VFNT (200 J 200 to 300 360 Rhythm after the first shocks?c Persistent or recurrent Return of spontaneous Pulseless electrical activity Asystole VF/VT circulation See adult Figure See adult Figure Class Useful and effective Class Acceptable probabh useful and effective Class Acceptable possibh useful and effective No useful or effective Unknown Continue CPR Assess vital signs Precordia thumr a Class lIb action in witnessed arrest no pulse and no Intubate at once Support airway defibril Ilator imm ediately ava ailable Obtain II access Support breathing at lowe Automated exte ma defib rillators using dinical biphasic settings, initial ene rgy and repeated waveforms s ...