EM Cases · Peri-arrest arrhythmias
Unstable VT with a pulse — peri-arrest resus station
ACEM Fellowship OSCE clinical-management (resus) station testing recognition of unstable monomorphic VT, immediate synchronised cardioversion, and ALS transition if arrest occurs.
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Study tools
Target exams
ACEMFRCEMABEMFRCPCCCFPEMEBEEM
Prompt
A 62-year-old man with chest pain who develops a broad-complex tachycardia and progressive hypotension in the resus bay.
Station brief
Format. Clinical-management (resus) station, 11 minutes — 4 minutes reading, 7 minutes active. You are the EM consultant.
Candidate instructions. Manage from trolley handover. Pads on early. State actions and reasoning aloud. Examiner plays the nursing team.[1]
References4ShowHide
- [1]Australian and New Zealand Committee on Resuscitation Guideline 11.9 - Managing Acute Dysrhythmias ANZCOR, 2026.Source
- [2]Australian and New Zealand Committee on Resuscitation Guideline 11.4 – Electrical Therapy for Adult Advanced Life Support ANZCOR, 2026.Source
- [3]Australian and New Zealand Committee on Resuscitation Guideline 11.5 – Medications in Adult Cardiac Arrest ANZCOR, 2026.Source
- [4]Soar J, Böttiger BW, Carli P, et al. European Resuscitation Council Guidelines 2021: Adult advanced life support Resuscitation, 2021.PMID 33773825