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Tripling survival from sudden cardiac arrest via early defibrillation without traditional. the efficacy and safety of vernakalant to amiodarone in recent-onset atrial fibrillation. A patient in cardiac arrest has received multiple shocks for refractory. Amiodarone is the next drug in the algorithm for this patient, given about 2 minutes. 2 minutes after the first dose of epinephrine and after the third shock. dose default di energia corrispondente a 200 joule per la prima. tica, bradicardie da tossicità farmacologica – amiodarone, ß-bloccanti, digitale, cal-. level for defibrillation in out of hospital cardiac arrest. Circulation 2007; 115: 1511-17. Management of cardiac arrest. 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