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Broad Complex Tachycardia; Roadside to Resus

The Resus Room

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The Role of Magnesium in Typhoid Tachycardia

Amiodarone is a great drug to use in these patients that haven't got life threatening features. Prokainamide not also known as domesticos is a Class 1A antiarithmic from that of one Williams classification and block sodium channels in cardiac myocytes which prolongs the refractory period. Toxbase recommends you urgently administer 2 grams of magnesium sulfate IV over 2 minutes in adults and 25 to 50 milligrams per kilogram in children. And once this is all being complete and you're back to a normal sinus rhythm magnesium concentration should be measured afterwards.

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