Cardioversion in Pregnancy: Is it Safe?

Is cardioversion safe in the pregnant patient? A CASE A 24 yo female patient presents with palpitations and some dizziness. She is  G1P0 and is 28 weeks gestation. Her rhythm strip is shown below. You make the diagnosis of SVT. You try the ‘REVERT‘ approach and other vagal techniques, with no success. What medications are…

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Double Sequential External Defibrillation

Double sequential external defibrillation

Double Sequential External Defibrillation(DSED) is a means of administering sequential shocks to terminate shock resistant ventricular fibrillation. It is a controversial topic, with no robust studies. Resistant ventricular arrhythmias are different to electrical storm(1). Electrical storm is a state characterised by recurrent occurrences of unstable ventricular arrhythmias, over a short period of time. This is…

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Should We Shock Patients in Asystole?

Should cardiac arrest patients in asystole be shocked? Is there any advantage to this? What do we know about asystole in cardiac arrest? Patients in asystole are known to have a very poor prognosis, with 0% to 2% surviving to hospital discharge. There is a slightly better prognosis if the rhythm converts spontaneously to a shockable rhythm…

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Cardioversion in Pregnancy: Is it Safe?

Is cardioversion safe in the pregnant patient? A CASE A 24 yo female patient presents with palpitations and some dizziness. She is  G1P0 and is 28 weeks gestation. Her rhythm strip is shown below. You make the diagnosis of SVT. You try the ‘REVERT‘ approach and other vagal techniques, with no success. What medications are…

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