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RX ASPECTS OF PERI-ARREST ARRHYTHMIAS
European Resuscitation Council recommends low dose epinephrine
as an alternative treatment for symptomatic bradycardias resistant to
atropine.
Amiodarone is the preferred drug for treating broad complex
tachycardias, although lidocaine (lignocaine) remains an alternative.
The narrow complex tachycardia algorithm now includes the
recommendation of a synchronised direct current shock if the heart
rate exceeds 250 beats a minute and the patient has no pulse .
The algorithm for the management of atrial fibrillation is complex.
Patients are classed as having high, intermediate, or low risk, and the
treatment options depend partly on the duration of the A.fibrillation.