After extrication, what treatment is indicated for cardiac arrhythmias?

The appropriate treatment for cardiac arrhythmias after extrication is defibrillation. Defibrillation is a critical intervention used to restore a normal heart rhythm in patients experiencing life-threatening arrhythmias, particularly ventricular fibrillation or pulseless ventricular tachycardia. In scenarios where a patient exhibits severe arrhythmias post-extrication, timely defibrillation can significantly improve survival outcomes.

While calcium gluconate has its specific indications, primarily related to calcium channel blocker overdose or hyperkalemia, it is not the first-line treatment for arrhythmias in a post-extrication context. Administering aspirin is typically used for potential myocardial infarction or acute coronary syndrome but is not directly indicated for arrhythmia management. IV fluids may be necessary for fluid resuscitation in cases of shock or dehydration, but they do not specifically address the arrhythmia itself. Therefore, defibrillation emerges as the most appropriate option in managing cardiac arrhythmias after extrication.