V-Fib



CAUSES:

Pathophysiology

Etiologies

Risk factors

Morbidity/mortality

History / Symptoms

Symptoms

Physical Exam

Diagnostic testing

Acute Treatment

  1. ABCs, IV, O2, monitor
  2. Assess / treat any contributing factors
  3. Start CPR
  4. Defibrillate 120-200 J
  5. CPR x 2min, then rhythm/pulse check
  6. Defibrillate 120-200 J
  7. CPR x 2min, then rhythm/pulse check
  8. Defibrillate 120-200 J
  9. CPR x 2min, then rhythm/pulse check
  10. Refractory VT = Magnesium sulfate 1-2g IV over 60 - 90 s followed by infusion of 1-2 g/h
REVERSIBLE CAUSES
  • Hypovolemia (Tx: Bolus)
  • Hypoxia (Tx: Intubate)
  • Hydrogen ions [Acidosis - Amp of Bicarb]
  • Hypo/Hyperkalemia
  • Hypo/Hyperglycemia (D50 Amp)
  • Hypothermia
  • Tablets or Toxins
  • Tamponade (Tx: Pericardiocentesis)
  • Tension pneumothorax (Tx: Chest tube)
  • Thrombosis [MI]
  • Thromboembolism [Pulmonary Embolism]
  • Trauma

Post-Resuscitation Management

Disposition

  1. Admit