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The ALS Tachycardia algorithm asks the following question:
Are there any life-threatening features present?
If so, synchronised DC cardioversion is indicated.
Clearly stability/instability is a spectrum — if in doubt, give electricity.
Sedation should be administered by a doctor experienced and competent in the technique used.
Deliver a synchronised DC shock. The current recommendations for different tachyarrhythmias are:
Question: You deliver three shocks to an unstable patient without success. What do you do next?