RRAPID BROAD COMPLEX TACCHYCARDIAS

Question 1

What would be seen in a broad ventricular tachycardia ECG?

Answer 1

1. rate greater than 100 bpm

2. QRS complexes > 0.12s

Question 2

Is there a pulse present?

Answer 2

yes

if not start advanced life support

Question 3

ABCDE

Answer 3

B

1. O2 15l/min non-rebreathe mask
2. O2 sats

C

1. blood cultures if sepsis
2. ECG - 12 lead
3. BP
4. IV access
   - 2 large bore cannulas

Question 4

Treatment of board complex tachycardia with adverse features

Answer 4

1. synchronised DC shock

Question 5

Treatment of broad complex tachycardia with no adverse features

Answer 5

-amiodarone 300mg loading dose over 1 hour

followed by:

• amiodarone 900mg IV over 24hrs after loading dose