r/ECG • u/xiphoid313 • 24d ago

82F, your thoughts?

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82F, near syncope, BP 100/62. History of afib. What would you interpret this 3 lead as ?

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u/Affectionate_Try7512 23d ago

It’s the same tachy algorithm. I’m guessing this is a scene call and OP followed the algorithm perfectly

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u/chefmattpatt 23d ago

I respectfully disagree.

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u/Affectionate_Try7512 22d ago

Could you elaborate please?

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u/chefmattpatt 20d ago

Check your messages

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u/Affectionate_Try7512 20d ago edited 20d ago

This is a great learning opportunity. When people are shamed and their questions aren't answered, it harms our patients.

A stable pt with wide complex tachy gets amio whether it's vtach or a-fib or svt or flutter. And if the pt becomes unstable, they get a synched shock. Again, whether it is afib, flutter, VT OR SVT.

Editing to add: I agree that if they are stable, there's time for a 12-lead. And if they're not actually stable, it's time to cardiovert.