Pulseless Ventricular Tachycardia (pVT) - Monophasic Defibrillation at 360 Joules @HEARTSTARTSKILLSFrasco

Uploaded August 2010 | Updated September 2026, 3 weeks ago

Pulseless VT is treated the same way as Ventricular Fibrillation would in AHA ACLS 2016 Guidelines. CPR with immediate Defibrillatory shock is recommended.
Biphasic Defibrillators: 120 - 200 Joules or recommended. Monophasic Defibrillators: 360 J. Other secondary interventions can be started if IV/IO access has been established.

Medications that can be given with pVT given during compressions:
- Epinephrine 1mg IVP/IO (1:10,000) every 3-5 mins.
- For refractory pVT: Amiodarone 300mg IVP/IO for the 1st dose; 150mg IVP/IO for the 2nd dose
- For possible hypokalemia: Lidocaine 1-1.5mg/kg IVP/IO 1st dose; 0.5-0.75mg/kg 2nd dose

Based on AHA ACLS 2015 Guidelines

$Pulseless Ventricular Tachycardia (pVT) - Monophasic Defibrillation at 360 Joules Pulseless VT is treated the same way as Ventricular Fibrillation would in AHA ACLS 2016 Guidelines. CPR with immediate Defibrillatory shock is recommended. Biphasic Defibrillators: 120 - 200 Joules or recommended. Monophasic Defibrillators: 360 J. Other secondary interventions can be started if IV/IO access has been established. Medications that can be given with pVT given during compressions: - Epinephrine 1mg IVP/IO (1:10,000) every 3-5 mins. - For refractory pVT: Amiodarone 300mg IVP/IO for the 1st dose; 150mg IVP/IO for the 2nd dose - For possible hypokalemia: Lidocaine 1-1.5mg/kg IVP/IO 1st dose; 0.5-0.75mg/kg 2nd dose Based on AHA ACLS 2015 Guidelines$