Discover and read the best of Twitter Threads about #Tachyarrhythmia
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There’s a bit of a loophole in the ACLS protocols that allows afib at its worst to get away with murder.
Let’s look at two scenarios and vote about a #cardioversion decision.
#Tachyarrhythmia #tweetorial
1/7
Let’s look at two scenarios and vote about a #cardioversion decision.
#Tachyarrhythmia #tweetorial
1/7
Scenario/poll 1:
70 yo, has severe aortic stenosis, admitted with pneumonia. She was eating dinner -> suddenly complained of palpitations then became unresponsive.
Preceding: BP 98/67, HR 90 in sinus.
Now: BP 48/30, HR 180s in a-fib, pulse very thready but palpable.
Do you:
70 yo, has severe aortic stenosis, admitted with pneumonia. She was eating dinner -> suddenly complained of palpitations then became unresponsive.
Preceding: BP 98/67, HR 90 in sinus.
Now: BP 48/30, HR 180s in a-fib, pulse very thready but palpable.
Do you:
Scenario/poll 2:
Same patient and history: severe aortic stenosis, admitted w pneumonia, sudden palpitations -> unresponsiveness.
VS earlier: BP 98/67, HR 90 in sinus.
Now: BP cuff not reading, HR 180s in a-fib, no convincing pulse.
Do you:
Same patient and history: severe aortic stenosis, admitted w pneumonia, sudden palpitations -> unresponsiveness.
VS earlier: BP 98/67, HR 90 in sinus.
Now: BP cuff not reading, HR 180s in a-fib, no convincing pulse.
Do you:
