Emergency management

Question 1

How should someone with tachycardia and signs of shock be managed?

Answer 1

synchronised DC shock

then amiodarone

Question 2

How should someone with a regular, broad tachycardia be managed?

Answer 2

amiodarone

unless previously confirmed SVT with bundle branch block

Question 3

How should a regular, narrow tachycardia be managed?

Answer 3

vagal manoeuvres

then adenosine

Question 4

Manage AF

Answer 4

rate control with beta blocker or rate-limting ccb (Diltiazem)

2nd line. consider digoxin (esp if heart failure)

Question 5

If a regular, narrow tachycardia is restored to sinus rhythm with vagal manoeuvres what is it?

Answer 5

likely to be an atrioventricular nodal re-entry tachycardia

Question 6

What rhythms are shockable?

Answer 6

VF/VT

Question 7

What rhythms are nonshockable?

Answer 7

asystole

pulseless electrical activity