Unstable Wide-Complex Tachycardia

Treat as VT — synchronised shock

First 30 seconds

  1. 1ABCDE
  2. 2Attach defib
  3. 3Sedate if conscious
  4. 4Sync cardioversion 100–200 J biphasic
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

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Clinical Decisions in Seconds