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Tachycardia: The Unstable Patient Video

ACLS Certification Association videos have been peer-reviewed for medical accuracy by the ACA medical review board.

Video at a Glance

  • If initial interventions fail to address a patient’s tachyarrhythmia, the next step is to determine whether the patient is stable or unstable.
  • Unstable tachyarrhythmias can be treated with medication or synchronized cardioversion.
  • Synchronized cardioversion differs from defibrillation in that the electrical energy is delivered at a different time in the cardiac cycle.
  • When feasible, the patient being prepared for synchronized cardioversion should be sedated.

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