Potential causes of symptomatic bradycardia
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-Myocardial ischemia/infarction
-Drugs/toxins (beta blockers, CCB, digoxin)
-Hypoxia
-Electrolyte abnormality (hyperkalemia)
Patient with tachycardia and stable. No wide QRS. What are the next steps?
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, -Vagal maneuvers (if regular)
-Adenosine (if regular)
-Beta blockers or calcium channel blocker
-Consider expert consult
What are the next steps in post-cardiac arrest care?
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1. Obtain 12-lead ECG
2. Consider for emergent cardiac intervention (STEMI, cardiogenic shock,
mechanical circulatory support)
What are the shockable rhythms?
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V-fib, pulseless V-tach
Adenosine dose
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First dose: 6mg rapid IV push, follow with NS flush
Second dose: 12mg if required
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-Myocardial ischemia/infarction
-Drugs/toxins (beta blockers, CCB, digoxin)
-Hypoxia
-Electrolyte abnormality (hyperkalemia)
Patient with tachycardia and stable. No wide QRS. What are the next steps?
Give this one a try later!
, -Vagal maneuvers (if regular)
-Adenosine (if regular)
-Beta blockers or calcium channel blocker
-Consider expert consult
What are the next steps in post-cardiac arrest care?
Give this one a try later!
1. Obtain 12-lead ECG
2. Consider for emergent cardiac intervention (STEMI, cardiogenic shock,
mechanical circulatory support)
What are the shockable rhythms?
Give this one a try later!
V-fib, pulseless V-tach
Adenosine dose
Give this one a try later!
First dose: 6mg rapid IV push, follow with NS flush
Second dose: 12mg if required