V-tach

[hammerpcp]

Just remember, in medicine there is no such thing as "always" and "never." The only exceptions are, if you are standing on a corner minding your own business, two dudes will walk up to you and shoot you, ALWAYS. The other, if you are changing a light bulb naked, you will fall on it and it will find its way into your rectum. Other than those, there is no "always" or "never"

Also, no one has ever consumed more then two beers. Regardless of how intoxicated they appear.

[Code 8 Paramedic]

Well on the subject of V-tach.. me and my trusty LIDOCAINE converted a V-tach with a pulse to a sinus rhythm just the other day

[Dustdevil]

Well on the subject of V-tach.. me and my trusty LIDOCAINE converted a V-tach with a pulse to a sinus rhythm just the other day

Impossible. That never happens.

NEVER. :wink:

[Thunderchild145]

Kay. Point taken. I'm an asshole.

[melangel16]

Just had a guy the other day same thing (not BLS crew, no ALS in the area) - 62 yr old male, feeling unwell at work. Taken to medical clinic (very loose term) and an hour later we were called for some "cardiac problem"

Guy was in V-tach at 220, with weak radials at about 100 bpm and a BP around 100. Pt extremely diaphoretic, pale, nauseous, vomited x1, denies any sort of pain anywhere. Pt hx of same 6 years ago and converted with drugs - only med was atenolol.

He was stable, conscious an only c/o feeling nauseous all the way to the hospital (4 min drive) - they attempted electrical cardioversion - nothing. But after one dose of amiodarone - NSR at 88bpm within 30 secs.

Sometimes you just never know who will or won't make it.

[arguscanis]

just my .02. Thunderchild's statement mentions the neccessity for a conversion. It does not mention when. All the cases presented include a rhythm conversion prior to their positive outcomes.

[EMT*Sweet]

and if it lights up upon penetration? :bootyshake:

[tniuqs]

and if it lights up upon penetration? :bootyshake:

Its an LED..... and dont you just love those new hi- teck toys? :oops:

[ERDoc]

and if it lights up upon penetration? :bootyshake:

Makes it easier to find when you have to get it out.

[sledogg1]

Was the tachycardia monomorphic or polymorphic at 220...... mono: lido at 1.0mg/kg then 0.5mg/kg till a max 3.0mg..... poly: magnesium 1.0 g OVER A MINUTE hang a gtt 2.0 gms in 100cc N/S @50cc/hr 1.0 gm/ hr if not then the lido as above then synchronized cardioversion if over 150 @ 100-200-300-360.