Out of Hospital Unstable Ventricular Tachycardia
Lead-in: Your ALS ambulance is dispatched to a car that has pulled to the side of the highway. The caller was driving the patient to an appointment, but she was sick and needed to stop. She reports shortness of breath and weakness.
ACLS Megacode 4
Out of Hospital Unstable Ventricular Tachycardia Lead-in: Your ALS ambulance is dispatched to a car that has pulled to the side of the highway. The caller was driving the patient to an appointment, but she was sick and needed to stop. She reports shortness of breath and weakness.
1) Unstable Tachycardia
ECG: Monomorphic Ventricular Tachycardia HR: 150 SBP: 84 DBP: 54 RR: 20 SpO₂: Normal Waveform @ 94% ETCO₂: OFF 12 Lead: - ECG After Shock: Ventricular Fibrillation
2) VF
ECG: Ventricular Fibrillation HR: 200 SBP: OFF DBP: OFF RR: OFF SpO₂: OFF ETCO₂: OFF 12 Lead: - ECG After Shock: Normal Sinus Rhythm
3) PEA
ECG: Normal Sinus Rhythm HR: 70 SBP: OFF DBP: OFF RR: OFF SpO₂: OFF ETCO₂: Low Amplitude @ 25mmHg 12 Lead: - ECG After Shock: Asystole
4) PCAC
ECG: Wide QRS (LBBB or RBBB) HR: 100 SBP: 94 DBP: 56 RR: 6 SpO₂: Normal Waveform @ 100% ETCO₂: Normal Waveform @ 60mmHg 12 Lead: - ECG After Shock: OFF
