crotchitymedic1986 Posted September 1, 2011 Share Posted September 1, 2011 It probably wasn't v-tach, but an aberrant wide or narrow SVT, although it is possible to be alert and in V-Tach, or have runs of V-Tach that last for several seconds/minutes. Did they not try to fix with medicine first ? I agree people should be sedated, there are many drugs that have short half-lives that could be used. Link to comment Share on other sites More sharing options...
DFIB Posted September 1, 2011 Author Share Posted September 1, 2011 It was v tach. Kinda funny you would say it probably wasn't when you have no idea I mean being that you were not present. We all saw the rythm. She had been given a lot of drugs all morning and was just waking up from sedation. Link to comment Share on other sites More sharing options...
Kiwiology Posted September 2, 2011 Share Posted September 2, 2011 Cool. You mean you can run a code without a ACLS Card???? Who'd have thunk it. Sure can. Our cardiac arrests are very simple: LMA, CPR, defibrillate and adrenaline. Link to comment Share on other sites More sharing options...
FireMedic_1979 Posted October 21, 2011 Share Posted October 21, 2011 Yes DFIB I've shocked (cardioverted) an alert patient that was in symptomatic V-tach. He was presenting with chest pain, diaphoresis, palpitations. He was fully alert and we pre-medicated with Versed or Valium (this was about 9 years ago in another system so I cant recall which med was in our protocol). After 1st shock at 100j, he converted to normal sinus and his symptoms subsided. As far as his response, we explained the procedure, expected pain, etc. He did jump and use profanity right after, but then he said he felt 100% better ! It sucks but it works I guess Link to comment Share on other sites More sharing options...
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