Should you defibrillate? #paramedic #paramedicstudent #paramedicschool #ems #emt #emtschool

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Rhythm strip (in middle) looks like sinus tach (narrow complex QRS, normal P & T waves best I can tell on the small screen), so going on the assumption they’ve got no pulse (hence the compressions in progress), I’d say it’s PEA. No defib.

flyboy
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No defibrillation. The rhythm on the pads is wide and regular, but there is no AV dissociation. Also the rate is 111, for it to be VT it generally has to have a rate of 120 or greater. Dr Amal Mattu has multiple lectures describing VT mimics on YouTube, they are fantastic. Additionally, the filtered ECG rhythm is sinus in nature.

craig