2015 Trumbull Memorial Hospital Demo

Wide Complex Tachycardia

Wide Complex Tachycardia

Universal Patient Assessment

Oxygen Titrate SpO2 to 94%

DO NOT use BOTH Amiodarone AND Lidocaine!

Adult Airway Protocol

Manufacturer’s Doses  Zoll – 75 J initial

Cardiac Monitor 12-Lead ECG If EMT or STEMI, transmit

 120, 150, 200, 200, 200

 Physio – 100 J initial

 150, 200, 200, 200, 200

 Philips – 100 J initial

Appropriate Arrest Protocol

 150, 200, 200, 200, 200

Palpable Pulse?

No

Yes

Wide Complex Tachycardia

Stable

Unstable

Amiodarone 150 mg over 5- 10 minutes IV/IO Drip or VERY SLOW Push

Synchronized Cardioversion Use Manufacturer’s Recommended Doses

If recurrent VT

Consider Magnesium Sulfate 2g IV/IO over 5-10 minutes if Torsades de Pointes, alcoholism, malnutrition Consider Lidocaine 1.5 mg/kg IV/IO if allergic to Amiodarone Repeat at 0.75 mg/kg every 5 minutes Max 3 mg/kg

Amiodarone 150 mg over 5- 10 minutes IV/IO Drip or VERY SLOW Push

If V-Tach converts to viable rhythm then converts back to V-Tach, perform cardioversion at energy level previously successful.

17

EMR

EMT

AEMT

Paramedic

Extended