We had a patient recently with VT, conscious but no recordable BP
(palpable carotid and brachial, just). Back into Sinus Rhythm after one
sync shock at 50J (good BP).
Just last weekend we were preaching the A(C)LS gospel of 100-200-300 J
sequence for pulse-positive VT.
Out of idle curiosity, what would list-members use as their 1st energy
level for semi-elective sync cardiversion?
If its relevant: our man had iv lignocaine in the white taxi on the way
in and was heavier than average build.
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Dr. Gautam Ray (e-mail: [log in to unmask])
Sussex, U.K.
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To err is human, to forgive is not management policy
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