The first step in preventing recurrent ventricular tachycardia is to fully assess and treat the underlying cardiac disease. In most cases, this means applying optimal therapy for CAD or heart failure (or both). Unfortunately, even with optimal treatment of the underlying heart disease, the heart muscle changes, such as scarring, remain.Advanced Cardiac Life Support (ACLS) Online Certification Course. Review & bookmark the Adult Tachycardia with Pulse Management Algorithm from our free online ACLS Handbook. Adheres to 2020-2025 ILCOR Guidelines.For cardiac arrest, amiodarone is used after the third shock for ventricular fibrillation and ventricular tachycardia that is unresponsive to shock delivery, CPR, and vasopressors. For tachycardia with a pulse, amiodarone may be considered, and expert consultation should be obtained prior to its use. Ventricular fibrillation is always pulseless and must be confirmed by EKG or defibrillator monitor. Defibrillation is the treatment of choice and should occur as soon as possible. The video below shows an example of what ventricular fibrillation will look like when you see it on the defibrillator monitor. This 2018 ACLS guidelines focused update includes updates only to the recommendations for the use of antiarrhythmics during and immediately after adult ventricular fibrillation (VF) and pulseless ventricular tachycardia (pVT) cardiac arrest.Supraventricular tachycardias (SVTs) are a group of tachyarrhythmias arising from abnormalities in pacemaker activity and/or conduction involving myocytes of the atria and/or AV node. Types of SVT include atrioventricular nodal reentrant tachycardia ( AVNRT; approx. two-thirds of cases), atrioventricular reciprocating tachycardia ( AVRT ...Wide complex ventricular tachycardia can sometimes be caused by: Heart disease. Electrolyte imbalance, especially in potassium. QT interval prolongation. If the patient is stable, a 12-lead ECG should be ordered to see if the rhythm is supraventricular or ventricular in origin. If the patient is unstable, immediate treatment is vital.The treatment of (VF and pulseless VT) Ventricular Fibrillation and Pulseless Ventricular Tachycardia is included in the Cardiac Arrest Algorithm. VF and pulseless VT are …Possible ventricular tachycardia Synchronized cardioversion Expert consultation is advised before additional drug therapies. If rhythm is regular and QRS monomorphic, consider adenosine. Narrow (≤0.09 sec) Wide (>0.09 sec) Evaluate rhythm with 12-lead ECG or monitor. Narrow (≤0.09 sec) Wide (>0.09 sec) Pediatric Tachycardia With a Pulse ...Adult Tachycardia with a Pulse Algorithm. What is Tachycardia A heart rate in adults that is greater than 100 beats per minute is technically defined as tachycardia. Many things can cause tachycardia—fever, shock, medications, stress, metabolic dysfunction, hypoxemia, etc. Perfusion problems may develop when the heart beats too fast and the ...First, pulseless ventricular tachycardia degenerates fairly rapidly into ventricular fibrillation and there is a high likelihood that synchronization will not be possible with pulseless ventricular tachycardia. In light of this, defibrillation is recommended over attempting synchronized cardioversion when the ventricular tachycardia is pulseless.Ventricular tachycardia; Wide-complex QRS tachycardia; Once a tachyarrhythmia is recognized, identify whether any life-threatening conditions exist. Indicators include signs of shock, hypotension, changes in the level of consciousness, etc.The Tachycardia Algorithm by ACLS.com shows the steps for rescuers to take when an adult presents with symptomatic tachycardia with pulses.e272 September 25, 2018 Circulation. 2018;138:e272–e391. DOI: 10.1161/CIR.0000000000000549 Key Words: AHA Scientific Statements acute coronary syndrome ambulatory ECG monitoring antiarrhythmic drug …Treatment of monomorphic VT is dependent upon whether the patient is stable or unstable. Expert consultation is always advised, and if unstable, the ACLS tachycardia algorithm should be followed. Polymorphic Ventricular Tachycardia. With polymorphic ventricular tachycardia, the QRS waves will not be symmetrical. This update provides the evidence review and treatment recommendation for antiarrhythmic drug therapy in pediatric shock-refractory ventricular fibrillation/pulseless ventricular tachycardia cardiac arrest. As was the case in the pediatric advanced life support section of the “2015 American Heart Association Guidelines Update for ...Polymorphic Ventricular Tachycardia. Polymorphic VT has QRS complexes greater than or equal to .12 second (120 milliseconds). QRS complexes may appear wider or higher than monomorphic (or other types of) VT. Because the electrical impulses and circuitry for this type of VT originate in various locations within the ventricles, the QRS morphology ... The pulseless ventricular tachycardia rhythm is primarily identified by several criteria. First, the rate is usually greater than 180 beats per minute, and the rhythm generally has a very wide QRS complex. Second, the patient will be pulseless. And third, the rhythm originates in the ventricles.In reality, sinus tachycardia is a form of SVT, and the rate can easily exceed 150. A good rule of thumb to estimate the maximum sinus rate is 220 minus age but that can vary by 10-15%, which is a lot. What most people really mean when they call a rhythm “SVT” is AV Nodal Reentrant Tachycardia or AVNRT, which is a reentrant rhythm in or ...Following Cardioversions: 2 J/kg. Wide QRS Complex. Ventricular Tachycardia with a pulse.VT is readily recognized on the electrocardiogram. VT is usually caused by ischemic or structural heart disease, electrolyte disturbances, or the effects of drug therapy. Emergency treatment of VT follows the Advanced Cardiac Life Support (ACLS) algorithms for pulseless VT and stable and unstable VT with a pulse. The treatment of all emergent tachycardic rhythms, whether narrow-complex or wide-complex, depends on the third and final clinical determination: the presence or absence of a pulse. Pulseless rhythms are treated under the ACLS cardiac arrest algorithms: a wide-complex tachycardia would be considered to be pulseless ventricular …Indeed, non-treatment (i.e., “waitful watching” ) of stable v tach is an option in some EMS systems, with more aggressive care being initiated should the patient’s condition declines.Introduction. The prevalence of patients with advanced heart failure (HF) is increasing comprising an estimated number of 1–10% of the overall HF population. 1, 2 The gold standard for treatment of these patients is heart transplantation (HTx), but this option is limited by the restricted supply of donor organs and by the presence of contraindications …An initial energy of 50 to 100 J MDS is often sufficient, with stepwise increases in energy if initial shocks fail. 23 24 25 Transthoracic cardioversion of atrial fibrillation with a low-energy (120-J), rectilinear, first-pulse biphasic waveform was superior to 200 J MDS in a recent controlled trial. 26 Cardioversion with biphasic waveform is now available, but more data …Ventricular Tachycardia – Monomorphic VT. Robert Buttner and Ed Burns. Mar 19, 2023. Home ECG Library. Ventricular Tachycardia (VT) is a broad complex tachycardia originating from the ventricles. There are several different forms of VT — the most common is monomorphic VT, which originates from a single focus within the …Adult Tachycardia with a Pulse Algorithm. What is Tachycardia A heart rate in adults that is greater than 100 beats per minute is technically defined as tachycardia. Many things can cause tachycardia—fever, shock, medications, stress, metabolic dysfunction, hypoxemia, etc. Perfusion problems may develop when the heart beats too fast and the ...Treatment for ventricular tachycardia may include medication, a shock to the heart (cardioversion), catheter procedures or surgery to slow the fast heart rate and reset the heart rhythm. ... Ventricular tachycardia is caused by faulty heart signaling that triggers a fast heart rate in the lower heart chambers (ventricles). The fast heart rate ...ACLS: Principles and Practice, Chapters 12 through 16. 4. There are 3 major sections in Part 7.3. The first 2 sections, “Bradycardia” and “Tachycardia,” begin with evaluation and treatment and provide an overview of the information summarized in the ACLS bradycardia and tachycardia algorithms.For the patient with symptomatic bradycardia with signs of poor perfusion, transcutaneous pacing is the treatment of choice. Of note, other sinus brady-similar rhythms that would be treated under this ACLS protocol also include heart blocks with a low pulse such as a 3rd-degree AV blocks (AVBs), or severe 2nd-degree AVBs.Adenosine is suggested in the “2010 AHA Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care–Part 8: Adult Advanced Cardiovascular Life Support” (2010 Adult ACLS guideline) 75 if a wide-complex tachycardia is monomorphic, regular, and hemodynamically tolerated, because adenosine may help …The American Heart Association’s ACLS precourse self-assessment is a test students take before beginning a course in advanced cardiovascular life support, as the association’s website explains.Pediatric Tachycardia With a Pulse Algorithm. Author: American Heart Association Subject: Please contact the American Heart Association at [email protected] or 1-214-706-1886 to request a long description of this image. Created Date:Amiodarone is primarily chosen for ACLS as the first-line antiarrhythmic agent for cardiac arrest. This is because it is effective in improving the rate of return of spontaneous circulation (ROSC) and improved ROSC to hospital admission in adults with refractory v-fib or pulseless v-tach. Amiodarone may be considered when v-fib and v-tach is ...• Pulse and blood pressure • Abrupt sustained increase in Petco 2 (typically ≥40 mm Hg) • Spontaneous arterial pr essure waves with intra-arterial monitoring Reversible Causes ... Immediate ED general treatment • If O 2 sat <90%, start oxygen at 4 L/min, titrateTreatment of Unstable / Pulseless Ventricular Tachycardia. Unstable SVT or VT require emergency countershock. Several misunderstandings are common when discussing …As a general rule of thumb, serious problems are unlikely for a heart rate of less than 150 bpm. The first step in managing unstable tachycardia is determining whether or not the patient has a pulse. In situations where the patient both has a pulse and is unstable, prompt synchronized cardioversion should be performed.Ventricular tachycardia; Wide-complex QRS tachycardia; Once a tachyarrhythmia is recognized, identify whether any life-threatening conditions exist. Indicators include signs of shock, hypotension, changes in the level of consciousness, etc.An initial energy of 50 to 100 J MDS is often sufficient, with stepwise increases in energy if initial shocks fail. 23 24 25 Transthoracic cardioversion of atrial fibrillation with a low-energy (120-J), rectilinear, first-pulse biphasic waveform was superior to 200 J MDS in a recent controlled trial. 26 Cardioversion with biphasic waveform is now available, but more data …Check for pulse and rhythm for no more than 10 seconds every 2 minutes. Yes. If the rhythm changes to a V-fib or V-tach shockable rhythm, move to that algorithm and prepare to shock the patient. CPR – 2 min. If the patient shows signs of return of spontaneous circulation, or ROSC, administer post-cardiac care.Medications. Procainamide (first-line drug of choice) 20-50mg/min until arrhythmia suppressed (max 17mg/kg or 1 gram); then, maintenance infusion of 1-4mg/min x 6hr. Alternative administration: 100 mg q5min at max rate of 25-50 mg/min [4] Stop if QRS duration increases >50% or hypotension. Avoid if prolonged QT or CHF.In patients presenting with ventricular arrhythmias and recurrent device therapies, device interrogation should be performed, with adjustment of rate detection zones and intervals based on the cycle length of clinical VTs; this is in contrast with primary prevention devices, where higher rate cut-offs and longer detection intervals are usually feasible to prevent …Polymorphic Ventricular Tachycardia. Polymorphic VT has QRS complexes greater than or equal to .12 second (120 milliseconds). QRS complexes may appear wider or higher than monomorphic (or other types of) VT. Because the electrical impulses and circuitry for this type of VT originate in various locations within the ventricles, the QRS morphology ... Pulse oximetry measures how much oxygen is being carried by one’s blood throughout their body while their heart is pumping. So, how is this measured? Namely through pulse oximeters, small devices that are used in hospitals, clinics and home...Ventricular tachycardia: ≥ 3 consecutive ventricular complexes (wide QRS complex) at a frequency of ≥ 100/minute. Nonsustained ventricular tachycardia ( NSVT ): VT lasting < 30 seconds with spontaneous termination. Sustained ventricular tachycardia: VT lasting ≥ 30 seconds or VT causing hemodynamic instability within 30 seconds.The cardiac arrest algorithm has two main branches. The left branch is used for the treatment of ventricular fibrillation and pulseless ventricular tachycardia.Indeed, non-treatment (i.e., “waitful watching” ) of stable v tach is an option in some EMS systems, with more aggressive care being initiated should the patient’s condition declines.Treatments for this condition include surgical remedies, including pulmonary thrombectomy or embolectomy, as well as fibrinolytic therapy. Final Thoughts. Studying and mastering the H’s and T’s will help you to more easily recall the factors that contribute to pulseless arrest, both when taking the ACLS exam, and in the real world.Treatment: Meds/Tests/Imaging for Ventricular Tachycardia (V-Tach) ... If they do NOT have a pulse, follow the ACLS algorithm which is as follows: ... Isn’t prophylactic but rather a safeguard that shocks the patient out of VTach if they go into VTach. Ablation.The H’s and T’s of ACLS is a mnemonic used to help recall the major contributing factors to pulseless arrest including PEA, Asystole, Ventricular Fibrillation, and Ventricular Tachycardia. These H’s and T’s will most commonly be associated with PEA, but they will help direct your search for underlying causes to any of arrhythmias ...Lidocaine is an antiarrhythmic that can also be used and is considered equivalent to amiodarone in the treatment of ventricular fibrillation or pulseless ventricular tachycardia. Dosing. Provide an initial dose of 1-1.5 mg/kg IV or IO. If pVT or VF persists the lidocaine may be repeated at 0.5-0.75 mg/kg over 5 to 10 minute intervals.Treatment: Meds/Tests/Imaging for Ventricular Tachycardia (V-Tach) ... If they do NOT have a pulse, follow the ACLS algorithm which is as follows: ... Isn’t prophylactic but rather a safeguard that shocks the patient out of VTach if they go into VTach. Ablation.Advanced Cardiac Life Support (ACLS) Online Certification Course. Review & bookmark the Adult Tachycardia with Pulse Management Algorithm from our free online ACLS Handbook. Adheres to 2020-2025 ILCOR Guidelines.Diagnosis. Ventricular fibrillation is always diagnosed in an emergency situation. If sudden cardiac death has occurred, a pulse check will reveal no pulse. Tests to diagnose and determine the cause of ventricular fibrillation include: Electrocardiogram (ECG or EKG). This quick and painless test measures the electrical activity of the heart.Synchronized cardioversion is utilized for the treatment of persistent unstable tachyarrhythmia in patients without loss of pulse. ... (ACLS) algorithm for ...For example, in cases where a patient who has unstable supraventricular tachycardia loses pulse, the best treatment is implementation of the ACLS algorithm for pulseless electrical activity. If a patient with an unstable ventricular tachycardia loses pulse during synchronized cardioversion, the best treatment is implementation of the ACLS …Wide complex tachycardia should be treated as ventricular tachycardia until proven otherwise. Stable WCT can be addressed with antiarrhythmic agents or synchronized cardioversion. Administration of multiple antiarrhythmic agents should be avoided without expert consultation. Treatment of unstable WCT should be synchronized cardioversion.Antiarrhythmic drug treatment may lead to rhythm stabilization in cases of VA recurrence. Scrutinizing the electrocardiogram (ECG) of VA is extremely helpful to differentiate potential mechanisms, underlying cardiac pathologies and identify treatment options, as well as a differential diagnosis if a ventricular origin is unclear.It is a type of ventricular arrhythmia or abnormal heartbeat of the ventricles. In pulseless ventricular tachycardia, the heart contracts too fast ( tachycardia ). This prevents the ventricles from filling with blood and stops blood flow to the body. Without blood flow, a person has no pulse. This lack of blood flow can quickly lead to organ ... Jun 12, 2022 · Ventricular tachycardia is a heart rate higher than 120 beats per minute that starts in your heart’s two lower chambers (ventricles), rather than from the normal electrical pathway. A normal resting heart rate is 60 to 100 beats per minute. During an episode of ventricular tachycardia, your heart is beating so fast that: Your blood pressure ... Polymorphic Ventricular Tachycardia. Polymorphic VT has QRS complexes greater than or equal to .12 second (120 milliseconds). QRS complexes may appear wider or higher than monomorphic (or other types of) VT. Because the electrical impulses and circuitry for this type of VT originate in various locations within the ventricles, the QRS morphology ...ACLS Cardiac Arrest VTach and VFib Algorithm. Perform the initial assessment. Perform high-quality CPR. Establish an airway and provide oxygen to keep oxygen saturation > 94%. Monitor the victim’s heart rhythm and blood pressure. If the patient is in VTach or VFib, this IS a shockable rhythm. Apply defibrillator pads (or paddles) and shock ...Ventricular fibrillation (VF or V-fib) is the most common initial heart rhythm in patients with out-of-hospital cardiac arrest (OHCA), and the most salvageable one. 5 In VF, the etiology of arrest is often attributed to either acute ischemia or non-ischemic arrhythmia. 8. Although VF appears as a chaotic and disorganized rhythm, characteristics ...Object moved to here.Torsades de Pointes is a type of very fast heart rhythm (tachycardia) that starts in your heart’s lower chambers (ventricles). Unlike a normal pulse rate of 60 to 100 beats a minute, a fast heartbeat in your ventricles (ventricular tachycardia) is more than 100 beats a minute. Torsades de Pointes can lead to a heart rate anywhere between 150 ...Order Now $ 40. Persistent tachycardia can cause hypotension, acutely altered mental status, signs of shock, ischemic chest discomfort, and acute heart failure. If the patient is having any of these signs consider emergent synchronized cardioversion, follow your manufacturer's guidelines.Ventricular Dysrhythmias represent a broad spectrum from ectopic beats to sustained ventricular tachycardia and ventricular fibrillation (VF), thus spanning from the benign to life-threatening. If the rhythm lasts > 30 seconds or the patient shows signs of instability, the rhythm is considered “sustained.”.Ventricular tachycardia; Wide-complex QRS tachycardia; Once a tachyarrhythmia is recognized, identify whether any life-threatening conditions exist. Indicators include signs of shock, hypotension, changes in the level of consciousness, etc. Shockable Rhythms: Ventricular Tachycardia, Ventricular Fibrillation, Supraventricular Tachycardia. Much of Advanced Cardiac Life Support (ACLS) is about determining the right medication to use at the appropriate time and deciding when to defibrillate. Along with high-quality CPR, emergency medicines and defibrillation are the only two ... The treatment of tachycardia involves taking steps to prevent the heart from beating too fast. This may involve medication, implanted devices, or other surgeries or procedures. Medications. Drugs to control the heart rate and restore a normal heart rhythm are typically prescribed for most people with tachycardia.Tachycardia is a medical condition characterized by an abnormally high heart rate, typically over 100 beats per minute (bpm) in adults. This ultimate guide aims to provide an in-depth understanding of tachycardia, its causes, signs, symptoms, and the Advanced Cardiac Life Support (ACLS) approach to managing and treating this condition effectively.Early defibrillation with concurrent high-quality CPR is critical to survival when sudden cardiac arrest is caused by ventricular fibrillation or pulseless ventricular tachycardia. Administration of epinephrine with concurrent high-quality CPR improves survival, particularly in patients with nonshockable rhythms.Ventricular tachycardia (v-tach) typically responds well to defibrillation. This rhythm usually appears on the monitor as a wide, regular, and very rapid rhythm. Ventricular tachycardia is a poorly perfusing rhythm; patients may present with or without a pulse.However, it is unclear whether these medications improve patient outcomes. The 2018 AHA Focused Update on ACLS guidelines summarize the most recent published evidence for and recommendations on the use of antiarrhythmic drugs during and immediately after shock-refractory VF/pVT cardiac arrest. The updated guidelines state …Ventricular tachycardia (VT) is a fast, abnormal heart rhythm (arrhythmia). It starts in your heart’s lower chambers, called the ventricles. VT is defined as 3 or more heartbeats in a row, at a rate of more than 100 beats a minute. If VT lasts for more than a few seconds at a time, it can become life-threatening.Pulseless ventricular tachycardia is a life-threatening cardiac arrhythmia in which coordinated ventricular contractions are replaced by very rapid but ineffective contractions, leading to insufficient organ perfusion and heart failure. Pulseless ventricular tachycardia is a medical emergency. Due t …Antiarrhythmic Infusions for stable wide QRS tachycardia: 20 to 50 mg per minute until arrhythmia suppressed, hypotension ensues, or QRS duration increases >50%, maximum dose 17 mg/kg given. Maintenance infusion: 1 to 4 mg per minute. Avoid if prolonged QT or CHF. Initial dose: 150 mg over 10 minutes.e272 September 25, 2018 Circulation. 2018;138:e272–e391. DOI: 10.1161/CIR.0000000000000549 Key Words: AHA Scientific Statements acute coronary syndrome ambulatory ECG monitoringElectrical activity is traveling through the ventricles. Depolarization of the left and right ventricles. Reflects ventricular contraction. T-wave. Synonymous with ventricular repolarization. Reflects the start of ventricular relaxation. PR Interval. Onset of the P-wave to the start of the QRS complex.TREATMENT END Bradycardia Pulse present, heart rate < 50 bpm, and inadequate perfusion Task Actions Crisis Resources • Inform team • Identify leader • Call a code • Call for code cart Pulse Check • If no pulse: start CPR and See Asystole/PEA #1 Airway • 100% O 2 10 - 15 L/minVT is readily recognized on the electrocardiogram. VT is usually caused by ischemic or structural heart disease, electrolyte disturbances, or the effects of drug therapy. Emergency treatment of VT follows the Advanced Cardiac Life Support (ACLS) algorithms for pulseless VT and stable and unstable VT with a pulse. The treatment of (VF and pulseless VT) Ventricular Fibrillation and Pulseless Ventricular Tachycardia is included in the Cardiac Arrest Algorithm. VF and pulseless VT are …Ventricular tachycardia is an abnormal heart rhythm that happens when you have abnormal electrical signals in your heart's lower chambers (ventricles). These keep normal heartbeat signals from getting through and make your heart beat so fast that it can't pump enough blood to your body. Treatments include ablation and an implanted defibrillator.As a general rule of thumb, serious problems are unlikely for a heart rate of less than 150 bpm. The first step in managing unstable tachycardia is determining whether or not the patient has a pulse. In situations where …V-tach typically appears on an ECG monitor as a wide, regular, and very rapid rhythm. V-tach is a poorly perfusing rhythm and patients may present with or without a pulse. Most patients with this rhythm are pulseless and unconscious and defibrillation is necessary to reset the heart so that the primary pacemaker (usually the SA node) can take over.The American Heart Association (AHA) formally endorsed cardiopulmonary resuscitation (CPR) in 1963, and by 1966 they had adopted standardized CPR guidelines for instruction to lay rescuers [ 2 ]. Advanced cardiac life support (ACLS) guidelines have evolved over the past several decades based on a combination of scientific evidence of …CPR indicates cardiopulmonary resuscitation; IHCA, in-hospital cardiac arrest; and OHCA, out-of-hospital cardiac arrest. Figure 2. Adult BLS Algorithm for Healthcare Providers. AED indicates automated external defibrillator; ALS, advanced life support; BLS, basic life support; and CPR, cardiopulmonary resuscitation. Figure 3.In ACLS, Lidocaine is used intravenously for the treatment of ventricular arrhythmias. (VT/VF) It is also useful for the treatment of stable monomorphic VT with preserved ventricular function and for stable polymorphic VT with preserved left ventricular function, normal QT interval, and correction of any electrolyte imbalances.Pulseless ventricular tachycardia occurs when heart ventricles contract too fast and don’t have time to fill with blood. When blood flow stops, a person’s pulse stops. Survival depends on receiving fast emergency treatment and defibrillation. Heart-healthy habits and careful management of existing heart conditions are key to prevention.during and immediately after a ventricular fibrillation/pulseless ventricular tachycardia cardiac arrest. However, it is unclear whether these medications improve patient outcomes. This 2018 American Heart Association focused update on advanced cardiovascular life support guidelines summarizes the most recent published evidence Pulseless VT: Commence CPR while preparing to defibrillate and administer shock as soon as possible(see “ ACLS ” for details). VT with pulse: See “ Management of unstable tachycardia with a pulse ” for details. Polymorphic VT: Defibrillate. Monomorphic VT: Perform synchronized electrical cardioversion under procedural sedation.Patients may show signs of inadequate perfusion with or , Tachycardias are broadly categorized based upon the width of the QRS complex on the electrocardiogr, PALS Tachycardia Initial Management Algorithm 1. Tachycardia is diagnosed by , Adult Bradycardia Algorithm. Changes include: Atropine do, It is a type of ventricular arrhythmia or abnormal heartbeat of the ventricles. In pu, Ventricular fibrillation, or V-fib or VF, is a dangerous arrhythmia that causes the heart's lower chambers (ven, Tachycardia With A Pulse Algorithm. With this algorithm, you', Jul 1, 2021 · Repeat as needed if VT recurs. Follo, This change in treatment approach is based on new evidence that de, It is important to consider the clinical context when treating ad, What is Pulseless Arrest Ventricular fibrillation (v-fib, Under current resuscitation guidelines symptomatic , This 2018 American Heart Association (AHA) focused upda, If pulseless arrest develops at any time, see the ACLS Pulseless Arr, Procainamide has been effective for the treatment of s, a pulse & rhythm check As soon as pads are on and team is, CPR indicates cardiopulmonary resuscitation; IHCA, in-, Treatment for ventricular tachycardia involves managing any dise.