ACLS | Brady/Tachycardia

⚡ ACLS Deep Dive: Rhythms with a Pulse (Brady & Tachy) ⚡

1️⃣ Core Concepts — When to Shock, When to Chill 💥 Synchronized Cardioversion: For unstable rhythms with a pulse — unstable SVT, AFib, flutter, or monomorphic VT. Sedate if possible. ⚡ Unsynchronized (Defibrillation): For pulseless VT/VF or unstable polymorphic VT (if rhythm can’t be timed safely). 🧠 Rule: If they have a pulse but are tanking → cardiovert. No pulse → shock.

2️⃣ Bradycardia Algorithm 🫀 (HR < 50 + symptoms) 1️⃣ Atropine 1 mg IV bolus, repeat q3–5 min (max 3 mg). 2️⃣ If ineffective → TCP (Transcutaneous Pacing) or Epinephrine 2–10 mcg/min / Dopamine 5–20 mcg/kg/min.