A 50-something with Regular Wide Complex Tachycardia: What to do if electrical cardioversion does not work?
Dr. Smith's ECG Blog
SEPTEMBER 19, 2023
If you don't know what the dysrhythmia is, then try procainamide. Definitive diagnosis that ECG #1 is in fact VT is more than academic. Pads were placed with ultrasound guidance, so they were in the correct position. What to do now? If you believe it is SVT, then try adenosine. So I would give procainamide. Patient intubated.
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