ARRHYTHMIA - SRC 2

A sixty-six-year-old lady, reports to the ED indicating that she developed a very rapid heart rate.

WHAT SHOULD YOU DO ?

• IV line

• Supplemental Oxygen

• Monitor

• DC Shock

Identify the Rhythm.....

• Ventricular Fibrilation

• Ventricular Tachycardia

• Atrial Fibrilation

• Supraventricular Tachycardi

WHAT SHOULD WE DO NEXT ?

• DC Shock

• CPR

• Epinephrine IV Bolus

• Vagal Manuver

WHAT SHOULD WE DO NEXT ?

• Epinephrine 1 mg IV Bolus

• Lidocaine 1-1.5mg/Kg IV Bolus

• Adenosine 6mg IV Bolus

• ISDN 5mg SL

A forty two years old man was presented to the ER for an episode of dyspnea,

fatigue and Palpitation lasting more than 6 hours.

IDENTIFY THE RHYTHM....

• VENTRICULAR FIBRILATION

• VENTRICULAR TACHYCARDI

• ATRIAL FIBRILATION

• SUPRAVENTRICULAR TACHYCARDI

WHAT SHOULD WE DO NEXT ?

• DC SHOCK

• CARDIOVERSION SYNCHRONIZE

• EPINEPHRINE 1 mg IV

• AMIODARONE 150mg IV

A seventy-eight-year-old male who presents to the ED after a brief syncopal episode.

He denies any previous dizziness or fainting spells.

IDENTIFY THE RHYTHM...

• TOTAL AV BLOCK

• AV BLOCK 1st DEGREE

• AV BLOCK 2nd DEGREE TYPE 1

• AV BLOCK 2nd DEGREE TYPE 2

A seventy-eight-year-old male who presents to the ED after a brief syncopal episode.

He denies any previous dizziness or fainting spells.

WHAT SHOULD WE DO NEXT ?

• EPINEPHRINE 1 mg IV

• ADENOSIN 6 mg IV

• AMIODARONE 150mg IV

• ATROPIN 1 mg IV

the patient continues to deteriorate. The patient is now unconscious.

WHAT SHOULD WE DO ?

• put Transcutaneus Pacing

• Assess Responsiveness

• Seek for help

• Check for Carotid Pulsation

IDENTIFY THE RHYTHM....

• VENTRICULAR TACHYCARDI

• VENTRICULAR FIBRILATION

• ATRIAL FIBRILATION

• ASYSTOLE