The patient is a 42 y/o male who suddenly collapsed while running.  Per EMS: Patient noted to be pulseless, asystole on monitor.   ACLS was initiated, the patient was RSI’d.  CPR is in progress upon arrival.  Airway is intact. No pulse on initial check, and you obtain this monitor strip:

You also obtain the following echocardiogram during this pulse check.

What is the treatment?