Here is the conclusion to 41 year old female CC: Chest pain
Paramedics give 150 mg amiodarone over 10 minutes via piggyback infusion.
The patient's BP drops to 90/48 and the patient's clinical status is observed to deteriorate.
Synchronized cardioversion is performed.
The rhythm is now narrow complex but extremely fast and unstable.
The ICD delivers a shock and the patient is observed to be in VF.
After waiting a few seconds (to see what the ICD is going to do) paramedics shock the VF.
The rhythm starts to stabilize and the patient's BP comes up to 142/74.
Are you ready to drop this patient off at the emergency department?