Protocol 2-946 - Ventricular Tachycardia

Polk, Hickory, Cedar, & St Clair EMS Protocols







Patient weight (lbs): (kg):

NEMSIS Protocol: 9914151 - Medical-Ventricular Tachycardia (With Pulse)


Change Log:

DateLink to
Description of change
10/04/13pdfAdded rates and consider to Combo Pads.
10/04/13pdfAdded rates to Combo Pads. Added symptomatic to ALS treatments.
11/11/13Fixed Mag Sulfate dose over 5 min to over 15-20 min (assume it was a typo).
06/27/16pdfAdded note that IV access must be in an AC space (left is preferred).
08/24/17pdfRemoved Ativan and Procainamide.
09/20/17Increased Lidocaine from 0.5 to 1 mg/kg. Modified pediatric Versed dosages.
11/11/17pdfReplaced Versed and Fentanyl with reference to Protocol 6-050 - Control of Pain for pre-cardioversion.Removed directions to mix Amidoarone and Mag Sulfate.
04/06/20Added content from old Protocol 2-100 - Tachycardia Wide Stable. Changed indication for Mag Sulfate from QT/RR > 0.4 to QTc > 0.3 due to ease of identifying those values by paramedics. RR is not redily availablemust be measured by hand where QTc is measured by the LifePakprinted on the 12-lead.
04/06/20Added content (without substantive modification) from old Protocol 2-110 - Tachycardia Wide Unstable.
04/06/20pdfAdded content (without substantive modification) from old Protocol 2-130 - Ventricular Ectopy.
05/16/20pdfAdded additional Lidocaine dose if over 70 years old. Dose reduction by 50% was already in the medication protocol for Lidocaine.
02/19/21pdfAHA 2020 updates to this protocol include an Amiodarone drip after conversion and the option for Adenosine for pediatric patients.
06/06/21pdfMoved to
10/16/21pdfAdded comment to mix Mag Sulfate with NS per protocol committee on 5/26/21 and Dr Nicholes on 12/8/20. Also, removed Lidocaine as a treatment option for VTach with a pulse per Dr. Nicholes on 8/5/21.
11/30/21Updated link to Adenosine.
11/30/21Updated link to Albuterol.
11/30/21Updated link to Amiodarone.
02/25/22pdfRemoved typo indicating 125 J/kg cardioversion (now 125 J). Added details of mixing Amiodarone in 100 ml NS per protocol committee on 1/26/22.
02/28/22Updated link for Sodium Bicarb.

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