// PARAMEDIC Question · Cardiology
A patient with a wide-complex tachycardia and a pulse is unstable. The energy for synchronized cardioversion should begin at:
A. 50–100 J biphasicCorrect
B. 200 J biphasic
C. 360 J monophasic
D. 1000 J
// Rationale
Unstable monomorphic VT is cardioverted starting at 100 J biphasic (or lower for some protocols); follow local protocol.