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Ann Emerg Med. 2015
 
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4519094/
 
Figure 1. Management options for the hypotensive, conscious patient, which may be attempted to avoid immediate cardioversion.
We recommend selecting only 1 of the 3 options;
if not effective (pulse rate decreased and blood pressure increased or maintained), obtain expert consultation.
If vital signs or level of consciousness worsens, proceed to immediate cardioversion.
 

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