Pulseless ventricular tachycardia | ACLS-Algorithms.com

Comments

  1. Flanagan Whitsitt says

    What is up with the music. I absolutely can’t stand it. I am not here to be entertained. I can go to Netflix for that.

    I am here to learn ACLS and to further my knowledge of fatal rhythms. Perhaps I am just to wound up. But Having to listen to your suspenseful music does not make this a more pleasant, learning experience for me. It would be preferable if you there was a “Turn music off option” for those that dont want to listen to it.

  2. Elaine says

    Thank you so much for all that you do. My AC LS class was on August 30 my score a 92 the best 92 I’ve ever had thank you thank you thank you, it has been a pleasure using your site. You give so much of yourself and I hope you get a lot out of our comments we truly mean it ,thank you!

  3. SH says

    Why does pulseless ventricular tachycardias has wide qrs complex? To my knowlegde it should have a narrows qrs complex since ventricular is contracting fast.

    • ACLS says

      The reason why pulseless ventricular tachycardia has a wide QRS complex is because the electrical impulse for the QRS complex is being generated in the ventricle rather than the atrium. As a result electrical depolarization is slowed and not moving through the normal pathway of the heart. This causes the QRS complex to be wide.

      Kind regards,
      Jeff

    • ACLS says

      I do not have any idea what the answer to that question is. My guess would be there are many more cases of ventricular tachycardia with a pulse. In my 25 years of nursing experience I have seen many instances of ventricular tachycardia with a pulse and only a handful of pulseless ventricular tachycardia.

      Kind regards,
      Jeff

    • ACLS says

      Yes. Those terms are often used interchangeably. Defibrillate or defibrillation would be the better term to use. It’s more specific than just saying shock.

      Conversely, Usually when synchronized cardioversion is taking place that word will be used rather than just saying “shock.”

      Kind regards,
      Jeff

  4. Derek Longoria says

    As a paramedic say I come across the following scenario …
    Pulseless pt, I start doing CPR, BVM with O2 and then I put the defib padz on the pt. At this time should I also place a 4 lead or wait until I possibly get ROSC for the 4+12 lead?

    Thanks a lot this site is awesome!

    • ACLS says

      You should wait until ROSC is achieved before you attempt to obtain an ECG.

      Dealing with cardiac arrest with the goal of obtaining ROSC is the most important issue. PlACE the defibrillation pads, perform rhythm analysis, and defibrillation as soon as possible.

      Kind regards,
      Jeff

    • ACLS says

      You would wait long enough for the first dose of amiodarone to reach and have an effect within the central circulation. This would usually be at least two minutes of high-quality CPR.

      The second dose of amiodarone can typically be given anytime after the fourth shock.

      Kind regards,
      Jeff

  5. Angelika Milana says

    Love reading “Top Questions Asked on this page”, alway very helpful info! Thank for your wonderful class, this is my third time in a row using it. Your the best!
    Angelika

  6. Trudy says

    Very good ,
    It is very precise and at the same time educative . It deliberates on all the important points not beating about the bush .
    Thanks again .

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