Can you shock without a pulse?

A person could have a normal looking electrical conduction on the monitor and still have no pulse. The phenomenon is known as Pulse-less Electrical Activity (PEA). When someone is in cardiac arrest and has no pulse, depending on how the electrical conduction system is working, they might need to be shocked.

Explore more on it. Also asked, why is asystole not a shockable rhythm?

Asystole may be treated with 1 mg epinephrine by IV every 3–5 minutes as needed. Survival rates in a cardiac arrest patient with asystole are much lower than a patient with a rhythm amenable to defibrillation; asystole is itself not a "shockable" rhythm.

Beside above, what are the 3 shockable rhythms? Shockable rhythms include pulseless ventricular tachycardia or ventricular fibrillation. Nonshockable rhythms include pulseless electrical activity or asystole.

Similarly, you may ask, what happens if you shock someone with a pulse?

If a person is in cardiac arrest due to pulseless V-Tach, we shock them with a manual defibrillator which means we analyze the rhythm, charge the system, and shock. If a person is in V-Tach with a pulse, we shock them with a manual defibrillator as well but with one exception.

Do you shock VT with a pulse?

Unlike defibrillation, which is used in cardiac arrest patients, synchronized cardioversion is performed on patients that still have a pulse but are hemodynamically unstable. The most common cause of sudden cardiac arrest in adults is pulseless ventricular tachycardia (VT) or ventricular fibrillation (VF).