Normal Sinus Rhythm
ABC, O2, IV, Monitor (3 & 12 Lead)
SAMPLE, OPQRST, Vital Signs
Maintain appropriate vital signs and perfusion
Treat life threats and chief complaint correct answers38 y/o female complaining of N/V. BP 98,
Respirations 16, SaO2 = 94%, ETCO2=38
V-Fib
Shock or 2-min of CPR
ABC, Advanced Airway, ResQpod, H's and T's
Epinephrine 1mg or 40 U Vasopressin
@2 min, shock, change compressor, CPR
Amiodarone 300mg
@2 min, shock, change compressor, CPR
Epinephrine, 1mg or 40 U Vasopressin
@2 min, shock, change compressor, CPR
Amiodarone 150 mg correct answers76 y/o male, unresponsive, no respirations, no pulse
Accelerated Junctional
ABC, O2, IV, Monitor (3 & 12 Lead)
SAMPLE, OPQRST, Vital Signs
Maintain appropriate vital signs and perfusion
Treat life threats and chief complaint correct answers76 y/o female c/o weakness and being
lightheaded. BP=128/66, R=16, SaO2=92%, ETCO2=38
Atrial Fibrillation
ABC, O2, IV, Monitor (3 & 12 Lead)
SAMPLE, OPQRST, Vital Signs
Maintain appropriate vital signs and perfusion
Treat life threats and chief complaint correct answers86 y/o male presents to clinic with
fluttering in his chest. Denies pain or SOB. Physician called 911 for transport to ED.
Paced Rhythm
ABC, O2, IV, Monitor (3 & No12 Lead -why)
SAMPLE, OPQRST, Vital Signs
Maintain appropriate vital signs and perfusion
Treat life threats and chief complaint correct answers75 y/o male with N/V
Multifocal PVCs
ABC, O2, IV, Monitor (3 & 12 Lead)
SAMPLE, OPQRST, Vital Signs
Maintain appropriate vital signs and perfusion
Treat life threats and chief complaint
Consult with MD to consider:
, Antiarrhythmic if fast
Atropine if slow correct answers53 y/o female with SOB with activity and general weakness
BP=98/48, R=24
Accelerated Junctional
ABC, O2, IV, Monitor (3 & 12 Lead)
SAMPLE, OPQRST, Vital Signs
Maintain appropriate vital signs and perfusion
Treat life threats and chief complaint correct answers
Non-conducted PACABC, O2, IV, Monitor (3 & 12 Lead)
SAMPLE, OPQRST, Vital Signs
Maintain appropriate vital signs and perfusion
Treat life threats and chief complaint
Consider 0.5 Atropine if symptomatic with slow rate correct answers
Premature Junctional
ABC, O2, IV, Monitor (3 & 12 Lead)
SAMPLE, OPQRST, Vital Signs
Maintain appropriate vital signs and perfusion
Treat life threats and chief complaint correct answers
Sinus Arrest
ABC, O2, IV, Monitor (3 & 12 Lead)
SAMPLE, OPQRST, Vital Signs
Maintain appropriate vital signs and perfusion
Treat life threats and chief complaint correct answers
Sinus Bradycardia
ABC, O2, IV, Monitor (3 & 12 Lead)
SAMPLE, OPQRST, Vital Signs
Maintain appropriate vital signs and perfusion
Treat life threats and chief complaint
If symptomatic and slow, consider 0.5 Atropine correct answers
Sinus Tachycardia
ABC, O2, IV, Monitor (3 & 12 Lead)
SAMPLE, OPQRST, Vital Signs
Maintain appropriate vital signs and perfusion
Treat life threats and chief complaint
Symptomatic and stable: correct answers
Sinus to V-tach
Shock or 2-min of CPR
ABC, Advanced Airway, ResQpod, H's and T's
Epinephrine 1mg or 40 U Vasopressin