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Arrhythmias
in the peri-arrest period may need treatment to
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prevent deterioration to cardiac arrest or to
regain
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haemodynamic
stability after successful
resuscitation.
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The
choice of treatment depends on the nature of the
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arrhythmia
and the condition of the patient (adverse signs) .
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Conscious
patients must be anaesthetised or
well sedated
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before subjecting the pt to Synchronised
cardioversion .
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Strong
vagal manoeuvres that cause sudden bradycardia may
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trigger ventricular fibrillation in the context
of acute
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ischaemia
or digitalis toxicity.
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Expert help must be
sought early.
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