Wide Complex Tachycardia V Fib at 4:04

Scenario 1

1 – Conciousness NOT OK

2 – Breathing NOT OK Oxygen and Possible Airway

3 – Pulse Neg

4- BP <90

5 – Monitor

DX ventricular Fibrillation Unstable

Ventricular fibrillation, or VF, is the classic arrest scenario. It is a rather easy rhythm to recognize on the monitor and responds well to CPR and defibrillation, but it is deadly if not treated immediately. Essentially, the ventricles are quivering in ventricular fibrillation, thus no blood is being circulated and perfusion is nil in this rhythm. Without immediate CPR, this lethal rhythm will eventually deteriorate into asystole and death. In some situations, it may be difficult to shock a patient out of VF, and this is when drugs are used.

RX DRUG/SHOCK  Non Synchronised/ DRUG/SHOCK  Non Synchronised

Epineprine  1mg (1/10,000)/ every 3-5min NO MAX

SHOCK  Non Synchronised

Amiodorone 300 mg over 10 minutes iv infusion followed by 150mg  to max dose of 2.2g /24 hrs

Lidocaine 1-1.5mg/kg IV push Repeat .5mg-.75mg/kg