Resuscitation Council UK (RCUK) Advanced Life Support (ALS) Practice Exam

In a scenario where a patient remains in asystole during resuscitation, the recommended action is to continue CPR and reassess the rhythm every 2 minutes. This approach is grounded in the understanding that asystole is a non-shockable rhythm, and immediate defibrillation would not be appropriate or effective in this case.

Continuing high-quality CPR is essential as it helps maintain coronary and cerebral perfusion by providing artificial circulation. CPR can also potentially convert the underlying cause of the asystole. Regular reassessment of the rhythm every 2 minutes is critical because it allows for an evaluation of any potential changes, including the development of a shockable rhythm or return of spontaneous circulation.

While administering medications might be necessary in the management of certain cardiac arrest scenarios, persistent asystole requires no immediate medication without proper rhythm assessment and ongoing chest compressions. Stopping resuscitation efforts would also be premature in this context, as some patients might still have a chance of recovery with continued resuscitative efforts.

Thus, the emphasis on maintaining CPR and rhythm reassessment every 2 minutes aligns with the guidelines for managing a patient in asystole, ensuring that the chance of successful resuscitation is maximized.