Synchronised Cardioversion

Question 1

Synchronised Cardioversion - Indications (5)

Answer 1

1. Unconscious (LOC = P or U)
2. Rhythm SVT or VT
3. Haemodynamic compromise
4. > /= 16yrs: HR > 160
5. 1 to < 16yrs: HR >180

Question 2

Synchronised Cardioversion - Contraindications (3)

Answer 2

1. Patient LOC = A or V
2. <1year of age
3. ECG indicates sinus tachycardia, rapid AF, atrial flutter

Question 3

Synchronised Cardioversion - Complications (4)

Answer 3

Consider unconscious SVT mimickers with hypotension ie:
- hypovolaemia
- anaphylaxis
- sepsis
- tension pneumothorax

Additionally, adult HR of 260 is likely to be SVT whilst an adult HR of 160 may be SVT but more likely a mimicker