Tachyarrhythmia Recognition & Management

First Things First (assess & treat for the following)

• Assess hemodynamic status:
  • Is pt hypotensive?
  • Is there evidence of tissue hypoperfusion?
  • “When in doubt, knock it out”- severe hemodynamic instability caused by tachycardia requires prompt cardioversion (DCC). Note: ST and MAT does not respond to DCC.
• Evaluate for CHF.
• Evaluate for active ischemia.
• If any of the above are yes, then the pt is unstable & requires immediate treatment per ACLS