You are called to the ED where a patient is unresponsive with a BP of 69/40. His ECG is shown. What is the next step in his management?
a. Load with digoxin 1 mg followed by 0.25 mg IV qd
b. Administer amiodarone IV
c. Cardiovert at 360 joules using a monophasic device
d. Cardiovert at 120-200 joules using a biphasic device
e. Defibrillate at 360 joules
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