Unstable Narrow-Complex Tachycardia

Synchronised DC cardioversion

First 30 seconds

  1. 1ABCDE
  2. 2Attach defibrillator + pads
  3. 3IV access
  4. 4Sedate if conscious (midazolam ± fentanyl)
A

Airway

  • Patency, protect
  • Adjuncts / definitive airway
B

Breathing

  • RR, SpO₂
  • O₂ to target sats
C

Circulation

  • HR, BP, IV access
  • Fluids/vasopressors
D

Disability

  • AVPU/GCS, pupils, glucose
E

Exposure

  • Full exposure, bleeding, source
View flowchart algorithm

Related in WardRound

WardRound

WardRound

Clinical Decisions in Seconds