Уважаемый коллега!
Похоже, что Ваши коллеги правы (по крайней мере, согласно гайдлайну):
American Heart Association in collaboration with the International Liaision Committee on Resuscitation (ILCOR). International Guidelines 2000 for Cardiopulmonary resuscitation and Emergency Cardiovascular Care A consensus on Science. European Resuscitation Council. Resuscitation 2000; 46: 103252.
Вот фрагмент недавней статьи от финских коллег (описание протокола):
The Helsinki EMS implemented the Resuscitation 2000 guidelines into the CA treatment protocol in October 2000. The main difference from the former treatment protocol was that amiodarone replaced metoprolol as the antiarrhythmic adjunct in resuscitation. Accordingly, after three ineffective shocks, one sequence of cardiopulmonary resuscitation (CPR), administration of 1 mg of adrenaline (epinephrine), a bolus of 300 mg of amiodarone (Cordarone® Sanofi-Synthelabo, SPSS, Espoo, Finland) was administered. Differently from previous studies and Guidelines, аmiodarone (50 mg/ml) was administered without dilution as a bolus into a vein located as centrally as possible (external jugular or antecubital vein). This was performed to save time because the dilution process in 5% glucose was found to take approximately 90 s. To reduce the hypotensive effects of amiodarone, a rapid bolus of approximately 200 ml of acetated Ringer's solution was given. The amount of fluid bolus was chosen because CAs with VF or ventricular tachycardia (VT) are seldom associated with hypovolemia and, in accordance with the guidelines, the patient had already received adrenaline, a vasopressor. If the heart was still in VF after three sequences of CPR, an additional dose of 150 mg of amiodarone was administered. The same treatment protocol applies if in patients with asystole or pulseless electrical activity (PEA) as the initial rhythm, VF develops during resuscitation. Blood pressure is measured immediately after achieved return of spontaneous circulation (ROSC) and thereafter every 5 min, using non-invasive oscillotonometry.
Из Acta Anaesthesiol Scand. 2004 May;48(5):582-7.
The use of undiluted amiodarone in the management of out-of-hospital cardiac arrest.
Skrifvars MB, Kuisma M, Boyd J, Maatta T, Repo J, Rosenberg PH, Castren M.
Не в тему, но намой взгляд интересная статья о сравнении адреналина и вазопрессина при серд. реанимации:
Wenzel V, Krismer AC, Arntz HR, Sitter H, Stadlbauer KH, Lindner KH; European Resuscitation Council Vasopressor during Cardiopulmonary Resuscitation Study Group.
A comparison of vasopressin and epinephrine for out-of-hospital cardiopulmonary resuscitation.
N Engl J Med. 2004 Jan 8;350(2):105-13.
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