Tachycardia Demo

Tachycardia

  • Assess using the ABCDE-approach
  • Give oxygen if appropriate and obtain IV-access
    • Monitor ECG, BP, SpO2, record 12-lead ECG
    • Identify and treat reversible causes (e.g electrolyte abnormalities)

    Adverse features?

    • Shock
    • Syncope
    • Myocardial is chaemia
    • Heart failure

    Synchronised DC Shock

    Up to 3 attempts

    QRS

    Is QRS narrow (< 0.12s)?

    Amiodarone

    • Amiodarone 300 mg IV over 10 - 20 min and repeat shock
    • Follow with Amiodarone 900 mg over 24 h