I'd be grateful for the lists advice on some treatment aspects of VT which
we have been debating at length!
1. Pulseless VT: is there any need for a pulse check before each shock,
just in case the patient has started perfusing but remains in VT, or is it
safe to simply rely on looking for other signs of life?
2. Is there any role for lignocaine pre-hospital anymore, now that
cardioversion is the treatment of choice?
3. What are the relative merits of single operator cardioversion vs
lignocaine if nearest hosp is 30mins+ away and patient is in poor condition
& worsening? Perhaps we should just wait for the pulseless phase!
Thanks
John Apps Basics North-East
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