A 30-year-old male presents to the ED with complaints of sho…

A 30-year-old male presents to the ED with complaints of shortness of breath and chest pain that began after taking a  minor fall off of his bike. The symptoms have been persistent for the past 3 hours. Pain is increased with inspiration. He denies any constitutional symptoms of fever, cough, chills, or sick contacts. He is an avid biker and rides on a daily basis and did not consider this fall as significant. Additionally he does smoke ½ -pack of cigarettes per day.On physical exam he is tachypneic, with respiratory rate of 30, 94% saturation on room air. Ecchymosis present on left lateral ribs. Breath sounds are decreased in the left lung fields, and there is hyperresonance to percussion. The AG-ACNP obtains a chest x-ray (see the following x-ray): What is the diagnosis?

The patient with the above rhythm suddenly collapsed and is…

The patient with the above rhythm suddenly collapsed and is responding poorly.  The patient has a weak carotid pulse. A cardiac monitor, oxygen and an intravenous line have been initiated. The code cart with all drugs and transcutaneous pacer is immediately available. Which one of the following treatments would NOT be appropriate?