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V-Tach or Wide Complex Tachycardia with Pulse




For pediatric cardioversion and drug therapy
AICD firing > 2 times within 15 min.

Assure airway is open and without foreign body obstruction:
►High flow oxygen by mask as tolerated, assist ventilation with BVM as necessary.


Patients with stable ventricular tachycardia may present as syncope, weakness, chest pain, shortness of breath, or light-headedness.


Stable ventricular tachycardia (blood pressure present with minimal chest discomfort, alert and oriented, and minimal shortness of breath):

►Is best transported without cardioversion or pharmacologic treatment.


For unstable ventricular tachycardia:
Use cardioversion before drug therapy.

►See Synchronized Cardioversion Procedure


Documentation of cardioversion attempts should include amount of Joules administered.


***See Synchronized Cardioversion in Procedures Section***

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