PEDS

V-Tach or Wide Complex Tachycardia with Pulse

Algorithm

 

BASE HOSPITAL ORDER:

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***

Call

M: 949-769-1162

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