VT Storm (Part 1)

[@francisblanco2033]

Novice resuscitationist will be hesitant to give B blockers. Please suggest when exactly to give during resuscitation or AFTER ROSC? What about BP parameters to maintain prior?

[@farhanqadeer82]

I am sure you will talk about it in next part - Consider limiting Epinephrine Pushes though ACLS recommend using epinephrine - If Prolong Qtc ( could be congenital) one can use dopamine or isoproterenlol, Tacycardia in this will prevent arrythmias and avoid sodium channel blocking in that case - Always consider using bicarb if not sure ( as this can be s/t drug related, Hyperkalemia related wide complex) especially younger group of patient and ESRD patient. - Consider propofol as sedation if required to help with excessibe adrenergic input. - Things like dual sequential shock -- Use of medication-- Personally to me if I am going to DSS I stop using epinephrine and get esmolol push, and also consider stellate gang block etc etc - Last callyour ECMO team if nothing works, call cardiology for help if you need to. Thanks

[@francisblanco2033]

When to give Propanolol during resuscitation if still vfib with Amio, MgSo4, Epi already provided?