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5:03
Torsades vs Polymorphic VT: How to Diagnose FAST and Treat Correctly (ACLS)
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🔆 Torsades de Pointes (TdP) → VF → Defibrillation → Sinus Rhythm A polymorphic ventricular tachycardia associated with prolonged QT interval, which can degenerate into ventricular fibrillation (VF) and sudden cardiac death if not treated rapidly. 📍 Cause / Pathophysiology: • Occurs in the setting of prolonged QT interval (congenital or acquired). • Triggers: – Medications (antiarrhythmics class Ia/III, macrolides, fluoroquinolones, antipsychotics, methadone). – Electrolyte abnormalities (↓K⁺,
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🔹ACLS Cardiac Arrest Algorithm:Shockable vs. Non-Shockable Rhythm Pathway ⚡ · Shockable: VF/VT. Treat with immediate defibrillation. · Torsades de Pointes is a polymorphic VT. Defibrillate if pulseless. Correct underlying causes (e.g., hypomagnesemia, long QT). · Non-Shockable: PEA/Asystole. Treat with CPR, Epinephrine, and reversible causes (Hs & Ts). Cycle: 2 min CPR → Rhythm Check → Act. #TorsadesDePointes #PolymorphicVT #CardiacArrest #ACLS #ECG #VF #VT #PEA #Asystole #Resuscitation #Cardio
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8 ECG rhythms through the medium of dance part 2 1. Atrial flutter 2. Supra ventricular tachycardia 3. Polymorphic ventricular tachycardia (torsades de pointes) 4. Pulseless electrical activity (PEA) 5. Wolf Parkinson’s white syndrome (WPW) 6. Sinus arrest 7. P wave wave asystole 8. VT into VF (ventricular fibrillation) . . 👊 Hit follow & like for more prehospital content . . 🖥️ head over to www.themedicallounge.co.uk and sign up for incoming educational courses and quizzes. . . 🛒 Head over t
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What is Torsades de Pointes? How do you treat torsades? When do you shock vs give magnesium? Let’s make this simple. This rhythm is Torsades de Pointes — a form of polymorphic ventricular tachycardia associated with prolonged QT interval. It looks like: • Rapid wide-complex tachycardia • QRS complexes twisting around the baseline • Changing amplitude beat to beat ⚠️ Why it matters: Torsades can quickly deteriorate into ventricular fibrillation. If you don’t recognize it, you lose time. ⸻ 🚨 Tors
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ACLS Cardiac Arrest Algorithm:Shockable vs. Non-Shockable Rhythm Pathway · Shockable: VF/VT. Treat with immediate defibrillation. · Torsades de Pointes is a polymorphic VT. Defibrillate if pulseless. Correct underlying causes (e.g., hypomagnesemia, long QT). · Non-Shockable: PEA/Asystole. Treat with CPR, Epinephrine, and reversible causes (Hs & Ts). Cycle: 2 min CPR → Rhythm Check → Act. #TorsadesDePointes #PolymorphicVT #CardiacArrest #ACLS #ECG #VF #VT #PEA #Asystole #Resuscitation #Cardiology
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ACLS Cardiac Arrest Algorithm:Shockable vs. Non-Shockable Rhythm Pathway · Shockable: VF/VT. Treat with immediate defibrillation. · Torsades de Pointes is a polymorphic VT. Defibrillate if pulseless. Correct underlying causes (e.g., hypomagnesemia, long QT). · Non-Shockable: PEA/Asystole. Treat with CPR, Epinephrine, and reversible causes (Hs & Ts). Cycle: 2 min CPR → Rhythm Check → Act. #TorsadesDePointes #PolymorphicVT #CardiacArrest #ACLS #ECG #VF #VT #PEA #Asystole #Resuscitation #Cardiology
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