devildoc0908

Thanks, I did miss read it originally. So there for my inital assessment would have been off. The way I did it was the way I read it, if it was something else I would have done it similar to what you are stating. As far as Amiodarone, I have been using Epi for the past 10 years, so when you state Amiodarone can be given once in a 24 hour period for in ACLS, i was under the assumption that it was used to stimulate the heart to cause it to beat. If I am wrong then I am wrong and if so someone explain the correct correlation of Amiodarone and its use and used for.

Yes I am a paramedic for 10 years and i was an EMT for 7 years before that, what I mean by "vagal maneuvers" is that you "have the patient bare down like they have to take a dump". Example, have you ever went to a patient that was sitting at the toilet and passed out? They stimulated there VAGUS Nerve that runs beside the heart, in doing so they stimulated it, causing the heart to stop causing them to black out. With a vagal maneuver with a patient who has a HR of 310 a good vagal simple maneuver MAY slow the heart rate down.

First of all, when you have someone who has a HR above 180, acording to every class I have ever been to says, while you are getting the IV prepared have the patient do "Vagal maneuvers FIRST" If that doesn't slow the HR then look to Adenosine, but since the patient is obviously is symtomatic, the look of the patient gives you that, you need to go to direct cardoversion. First, Valium or Versed, your local protocols take affect, then shock. The use of "Amiodarone 150mg over 10 min., repeat x1" what does Ami do? It helps speed up the heart, exactly opposite of what your trying to do, slow do the heart.