Broad Complex Tachycardia

Question 1

VT criteria

Answer 1

> 30s
Rate >100
QRS >0.12
Regular
AV dissociation, absent P waves

Question 2

Unstable broad complex tach SnS (4)

Answer 2

1. Inadequate perfusion/shock
2. ALOC/unconscious
3. Ischaemic chest pain
4. APO

Question 3

Amiodarone indications and admin

Answer 3

If stable: VT or unclear WCT
Amiodarone 5mg/kg IV

300mg/6mL diluted with 44mL Dextrose.

Deliver over 20mins.

Question 4

Treatment of unstable WCT

Answer 4

Synch cardiovert at 150J.
Repeat once at 150J.
Switch to AP position, and DCCS 200J.

1-2mg Midazolam, 50mcg Fentanyl IV.