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FACP. Colegio de médicos de Tarragona Nº 4305520 / fgcapriles@gmail.com

WORLD EMERGENCY MEDICINE SOCIETIES & RELATED

EMERGENCY MEDICINE DAY: MAY 27

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sábado, 24 de octubre de 2015

Taquicardia ventricular refractaria

emDocs - October 23, 2015 - Author: Patti L - Edited by: Koyfman A and Long B
"Refractory ventricular tachycardia, also known as “electrical storm,” is defined as at least two or more separate ventricular tachycardia (VT) or fibrillation (VF) episodes requiring intervention in a 24-hour period.
So what to do?
  1. ABC
  2. Search for causes
  3. Start with ACLS
  4. Beta-blockers
  5. Consider procedures to reduce the sympathetic drive
  6. Consider increasing the amount of energy given during defibrillation
  7. Special consideration for patients with Brugada syndrome
  8. Consider sedation
  9. Consider cardiac catheterization post-ROSC"
http://www.emdocs.net/refractory-ventricular-tachycardia-approach-to-management/

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