Asystole is a non-shockable cardiac arrest rhythm. The immediate management is to begin high-quality cardiopulmonary resuscitation (CPR) and establish IV/IO access, with epinephrine 1 mg IV/IO every 3–5 minutes according to adult ACLS protocols. Defibrillation is not indicated for asystole.
A patient is found unresponsive and pulseless. ECG shows asystole. What is the next step?
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