In the ICU, a patient suddenly becomes unresponsive, pulseless, and hypotensive, with cardiac monitor indicating ventricular tachycardia. The crash cart is immediately available. The first therapeutic step should be?
A. Amiodarone 150mg IV push
B. Lidocaine 1.5 mg/kg IV push
C. Epinephrine 1mg IV push
D. Defibrillation at 200 joules
E. Defibrillation at 360 joules
