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Wide complex tachycardia procedural care — RCPSC EM MCQ

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HardResuscitation, procedures, airwayWide complex tachycardia procedural careRCPSC EM

CTAS 1. A 67-year-old has monomorphic wide-complex tachycardia at 180/min with chest pain and BP 84/50. He is awake, frightened, and has an ICD. Pads are placed and IV access is working. What is the most appropriate next step?

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Correct answer: B — Provide brief sedation if possible and synchronized cardioversion

Unstable monomorphic wide-complex tachycardia with a pulse requires synchronized cardioversion; brief sedation is appropriate if it does not delay shock.

Reference: ACLS Provider Manual; CAEP resuscitation resources