Pulsed VT

Broad QRS and...

irregular?

  • ddx:
    • AF with BBB → treat as irregular narrow complex i.e. fast AF
    • polymorphic VT → Mg 2g over 10 min

regular?

  • VT or uncertain rhythm
    • amiodarone 300mg over 10-60 min
  • if known SVT with BBB/abberancy → treat as regular narrow complex tachycardia e.g. SVT