Sunday, September 25, 2016

Torsades de pointes

Blurb: multiple v-tach of different tall and short amplitudes  twisting (torsades) around different points (de pointes) 



I - Recognize: multiple v-tach with twisting (torsades) around different points (de pointes) 


1 - Rate: super fast 

2 - Rhythm: up down unpredictable but it's always HIGH HIGH low low HIGH HIGH HIGH low low low HIGH low

3 - Axis: skip this for now

4 - Width: big QRS of 0.20 sec-ish

5 - Height: skip this for now

II - Treatment:
CPR, 
- defibrillation, 
- intubate
- if needed magnesium, 
- figure out possible causes H/Ts, 

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