V-Tac AHS Protocol Flashcards
What should be considered early in the management of patients with Ventricular tachycardia?
Online Medical Control (OLMC)
OLMC is crucial for patients with a QRS greater than 200 ms or a rate greater than 120 BPM.
What conditions warrant considering an ALS intercept?
- Altered Level of Consciousness (LOC)
- Systolic Blood Pressure (BP) less than 80 mmHg
- Ischemic Chest Pain
- Significant Shortness of Breath (SOB) and/or evidence of Congestive Heart Failure (CHF)
These factors indicate a higher risk and need for advanced support.
What should be done if tachycardia is due to non-cardiac factors?
Initiate transport immediately
Non-cardiac factors include hyperkalemia or toxicological pathologies.
What is the first step in the assessment and treatment protocol for ventricular tachycardia?
Obtain a 12-lead ECG
This step confirms the rhythm.
What should be considered for analgesia and/or sedation during treatment?
Procedural Sedation Protocol
This is necessary if sedation is required.
What should be performed for unstable patients with ventricular tachycardia?
Synchronized cardioversion
The energy settings for cardioversion differ by device.
What are the energy settings for LIFEPAK devices during cardioversion?
- 120J
- 150J
- 200J
These settings are used for synchronized cardioversion.
What energy settings should be used for ZOLL or other monitors during cardioversion?
- 100J
- 200J
- 300J
- 360J
These settings are applicable for synchronized cardioversion.
What may be required for polymorphic VT if synchronization is unsuccessful?
Defibrillation
This is necessary when synchronized cardioversion fails.
What is the dosage for magnesium sulfate in medication management?
2g IV/IO, dilute in 50 mL normal saline and infuse over 5 minutes
Magnesium sulfate is used for polymorphic VT.
What is required if transport time exceeds 20 minutes?
Mandatory OLMC consultation
OLMC must be consulted to ensure patient safety.
What should be considered for stable patients with sustained monomorphic VT?
Antiarrhythmic medication
Examples include amiodarone or procainamide as per local protocols.
What adverse effects should be monitored for during treatment?
- Hypotension
- Further deterioration of rhythm
Monitoring these effects ensures patient safety.
List the key interventions for managing ventricular tachycardia.
- Early identification with ECG
- Synchronized cardioversion for unstable patients
- Magnesium sulfate for polymorphic VT
- Defibrillation if synchronization is unsuccessful
- Mandatory OLMC if transport exceeds 20 minutes
These interventions are critical for effective management.
A patient experiencing V-Tac can you administer ASA?
NO
