What is the primary goal when treating unshockable rhythms?

The primary goal when treating unshockable rhythms, such as asystole or pulseless electrical activity (PEA), is to reestablish effective cardiac rhythm. Unshockable rhythms do not respond to defibrillation, which is reserved for shockable rhythms like ventricular fibrillation and pulseless ventricular tachycardia. Therefore, the focus shifts to addressing the underlying causes of the unshockable rhythm, which may involve high-quality cardiopulmonary resuscitation (CPR), administering appropriate medications such as epinephrine, and managing any reversible factors like hypoxia, hypovolemia, or electrolyte imbalances.

While maintaining airway patency is important in any resuscitation scenario, it does not specifically address the immediate goal of reestablishing an effective cardiac rhythm. Immediate defibrillation is not applicable to unshockable rhythms since they cannot be treated with electrical shock. Increasing heart rate is not a primary goal in these situations; instead, the focus should be on restoring adequate circulation and perfusion through effective CPR and treatment of underlying issues.