狠狠撸

狠狠撸Share a Scribd company logo

Tachy resus scenario pdf

?
?
Y
Yousuf Mahomed

A COPY OF THE TACHY RESUS SCENARIO WE USE GOOD FOR PRACTICE USE IN CONJUNCTION WITH THE ACLS TACHY RESUS ALGORITHM

1 of 6
Download to read offline
tachy resus scenario casualty 13 July 2015 Tachycardia case scenario YOUR PT IS A 40 YR OLD INDIAN MALE WITH A VERY HIGH BMI ( AND A MAGNIFICENT BEARD AND AN UNNATURAL LOVE OF CARPAL BONES) HE PRESENTS AS HE HAS SEVERE PALPITATIONS AND IS FEELING GENERALLY UNWELL, HOWEVER HE IS NOT IN DISTRESS WITH NO PAIN, A NORMAL BP,AND A GCS 15/15. YOU ASSESS HIM IN THE RESUS AREA AS YOU ARE CONCERNED BECAUSE HIS HEART RATE SEEMS VERY HIGH FROM THE TRIAGE AREA THIS IS CONFIRMED WHEN YOU SET UP YOUR MONITORS , AS YOUR THREE LEAD ECG SHOWS THE FFG TRACING A NARROW COMPLEX TACHYCARDIA WHAT DO YOU DO? HINTS: IMMEDIATELY GRAB THE TACHY ALGORITHM IS YOUR PT STABLE OR UNSTABLE ARE THERE EXTRINSIC FACTORS EG. HYPOVOLEAMIA,FEVER ETC. CONTINUE ACCORDING TO THE ALGORITHM YOU USE ADENOSINE AND THIS APPEARS
tachy resus scenario casualty 13 July 2015 YOUR PT SHOWED GOOD RESPONSE BUT YOU NOTICE A CHANGE ON YOUR ECG LEADS WIDE COMPLEX SVT HE IS STILL QUITE STABLE WITH AGOOD BP, GCS15/15, NO PAIN NO SIGNS OF HEART FAILURE OR SHOCK WHAT DO YOU DO ? HINTS: YOUVE ALREADY GIVEN ADENOSINE WHAT IS YOUR FOLLOW UP DOSAGE SHOULD WE START AN INFUSION WITHOUT EXPERT CONSULTATION SHOULD YOU RUSH TO CARDIOVERT GOOD WORK EVERYBODY, YOUR PT HAS BEEN SUCCESSFULLY TRANSFERRED TO ICU IN A STABLE CONDITION GOOD WORK FFG THE ALGORITHM
tachy resus scenario casualty 13 July 2015 UNFORTUNATELY JUST AS HE LEAVES HIS IDENTICAL TWIN BROTHER IS BROUGHT IN WITH A HISTORY OF 2HRS SEVERE CHEST PAIN, HIS GCS IS E=2 M=4 V=4 =10/15 HIS BP IS 85/50 WIDE SPREAD CREPS ARE HEARD BILAT AND HIS CAP REFILL IS >4SECS YOU SET UP YOUR MONITOR AND THIS PATTERN APPEARS WIDE COMPLEX MONOMORPHIC VTAC HINTS : HE DOES HAVE A PULSE WOULD YOU CONSIDER ADENOSINE WHAT INITIAL CHARGE WOULD YOU USE YOU SET YOUR MACHINE TO PACE AND WILL SEE THIS
tachy resus scenario casualty 13 July 2015 OR THIS NOW WHAT DO YOU DO? CHARGE AND DISCHARGE YOUR DEFIB WHAT HAPPENS WHY THE DELAY IN THE DISCHARGE OF CURRENT AND NOW THIS APPEARS!!!!!!!!!!! TORSADES DE POINTES WHAT DO YOU DO?
tachy resus scenario casualty 13 July 2015 GOOD WORK THIS NOW APPEARS ON YOUR ECG STRIP NORMAL SINUS RHYTHYM WHAT DO YOU DO NOW GOOD WORK EVERYBODY TACHYCARDIAS WILL NOT CAUSE SWEATING AND LOOSE BOWELS ANYMORE!!!!?
tachy resus scenario casualty 13 July 2015

More Related Content

Tachy resus scenario pdf

  • 1. tachy resus scenario casualty 13 July 2015 Tachycardia case scenario YOUR PT IS A 40 YR OLD INDIAN MALE WITH A VERY HIGH BMI ( AND A MAGNIFICENT BEARD AND AN UNNATURAL LOVE OF CARPAL BONES) HE PRESENTS AS HE HAS SEVERE PALPITATIONS AND IS FEELING GENERALLY UNWELL, HOWEVER HE IS NOT IN DISTRESS WITH NO PAIN, A NORMAL BP,AND A GCS 15/15. YOU ASSESS HIM IN THE RESUS AREA AS YOU ARE CONCERNED BECAUSE HIS HEART RATE SEEMS VERY HIGH FROM THE TRIAGE AREA THIS IS CONFIRMED WHEN YOU SET UP YOUR MONITORS , AS YOUR THREE LEAD ECG SHOWS THE FFG TRACING A NARROW COMPLEX TACHYCARDIA WHAT DO YOU DO? HINTS: IMMEDIATELY GRAB THE TACHY ALGORITHM IS YOUR PT STABLE OR UNSTABLE ARE THERE EXTRINSIC FACTORS EG. HYPOVOLEAMIA,FEVER ETC. CONTINUE ACCORDING TO THE ALGORITHM YOU USE ADENOSINE AND THIS APPEARS
  • 2. tachy resus scenario casualty 13 July 2015 YOUR PT SHOWED GOOD RESPONSE BUT YOU NOTICE A CHANGE ON YOUR ECG LEADS WIDE COMPLEX SVT HE IS STILL QUITE STABLE WITH AGOOD BP, GCS15/15, NO PAIN NO SIGNS OF HEART FAILURE OR SHOCK WHAT DO YOU DO ? HINTS: YOUVE ALREADY GIVEN ADENOSINE WHAT IS YOUR FOLLOW UP DOSAGE SHOULD WE START AN INFUSION WITHOUT EXPERT CONSULTATION SHOULD YOU RUSH TO CARDIOVERT GOOD WORK EVERYBODY, YOUR PT HAS BEEN SUCCESSFULLY TRANSFERRED TO ICU IN A STABLE CONDITION GOOD WORK FFG THE ALGORITHM
  • 3. tachy resus scenario casualty 13 July 2015 UNFORTUNATELY JUST AS HE LEAVES HIS IDENTICAL TWIN BROTHER IS BROUGHT IN WITH A HISTORY OF 2HRS SEVERE CHEST PAIN, HIS GCS IS E=2 M=4 V=4 =10/15 HIS BP IS 85/50 WIDE SPREAD CREPS ARE HEARD BILAT AND HIS CAP REFILL IS >4SECS YOU SET UP YOUR MONITOR AND THIS PATTERN APPEARS WIDE COMPLEX MONOMORPHIC VTAC HINTS : HE DOES HAVE A PULSE WOULD YOU CONSIDER ADENOSINE WHAT INITIAL CHARGE WOULD YOU USE YOU SET YOUR MACHINE TO PACE AND WILL SEE THIS
  • 4. tachy resus scenario casualty 13 July 2015 OR THIS NOW WHAT DO YOU DO? CHARGE AND DISCHARGE YOUR DEFIB WHAT HAPPENS WHY THE DELAY IN THE DISCHARGE OF CURRENT AND NOW THIS APPEARS!!!!!!!!!!! TORSADES DE POINTES WHAT DO YOU DO?
  • 5. tachy resus scenario casualty 13 July 2015 GOOD WORK THIS NOW APPEARS ON YOUR ECG STRIP NORMAL SINUS RHYTHYM WHAT DO YOU DO NOW GOOD WORK EVERYBODY TACHYCARDIAS WILL NOT CAUSE SWEATING AND LOOSE BOWELS ANYMORE!!!!?
  • 6. tachy resus scenario casualty 13 July 2015