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Ventricular Tachycardia


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									                                                                                                           Virtual Training Director
By Greg Friese, MS, NREMT-P

Ventricular Tachycardia                                                                                                                           Sponsored by
Assessing a patient with v-tach with pulses
   The Virtual Training Director is a new bimonthly column for                a. Altered mental status
training officers that will utilize the content of feature articles in EMS     b. Loss of consciousness
Magazine to help facilitate training sessions. We know many of you            c. Shock
are volunteers or combine your training obligations with other duties.        d. Hypotension
It is our goal to ease the process of training design and delivery by         e. Pulmonary edema
supplying a lesson plan you can adapt to the unique circumstances             f. Worsening chest pain
of your organization, its personnel and its local protocols.                  g. Respiratory distress
    We want your input. Visit EMSUnited.com, register as a member           4. Apply patient assessment concepts to determining patient
if you are not already, and join the Virtual Training Director group.          stability.
Share your experiences, find additional resources and ask the                   a. Chief complaint
group questions.                                                               b. History of present illness
                                                                               c. SAMPLE
Essential Information                                                          d. Associated signs and pertinent negatives
  Since v-tach with a pulse can suddenly become pulseless v-tach,           TEACHING TIP: Ask members to provide associated signs and pertinent
all EMS providers need to be able to look at the patient—not the            negatives that would support conclusion of stable or unstable.
cardiac monitor—to determine if the patient is stable or unstable.
                                                                            5. Use a provider or manikin to demonstrate the locations on the
Use this lesson plan to facilitate a classroom training session
                                                                               body pertinent to physical exam findings (JVD, diaphoresis,
for your service about the v-tach with pulses article (Stable or
                                                                               hypoxemia, peripheral cyanosis, rales) associated with
Unstable) that starts on page 42. Before your classroom training
                                                                               v-tach with a pulse.
and practice session, ask members to read the article and come
to the classroom with questions. (Remember, you can make and                6. ALS provider rhythm analysis—discuss relative criteria for
distribute copies of the article for education purposes.)                      v-tach.
                                                                            TEACHING TIP: Discuss and review v-tach rhythm strips. Also review
Time Needed: 1 to 2 hours                                                   rhythms that may be confused with v-tach.
Classroom Training Objectives                                               7. Discuss assessment techniques for:
  ➤ Discuss causes of ventricular tachycardia with pulses.                    a. Difficult to palpate radial pulse
  ➤ Explain differences between stable and unstable ventricular               b. Difficult to auscultate blood pressure
    tachycardia with pulses.                                                  c. Physical exam of medical patients
  ➤ Explain important ventricular tachycardia with pulses
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