A patient is being transported by ambulance following a suspected STEMI. En route, the patient develops a broad complex tachycardia at 200 bpm. He is ...

Question

A patient is being transported by ambulance following a suspected STEMI. En route, the patient develops a broad complex tachycardia at 200 bpm. He is conscious but his blood pressure drops to 80/50 mmHg and he is becoming confused. According to the Resuscitation Council UK tachycardia algorithm, what is the immediate treatment?

Accepted Answer

Synchronised DC cardioversion under sedation

Answer

IV amiodarone 300 mg over 20 minutes

Answer

IV adenosine 6 mg rapid bolus

Answer

Vagal manoeuvres

Answer

IV magnesium 2 g

uk-dipimc MCQ (SBA): Unstable Broad Complex Tachycardia