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Tachycardia Arrhythmias (Symptoms (Heart palpitations, Chest pain,…

- - - - Yes
        
        Synchronized cardioversion: Consider sedation, if regular narrow complex then consider adenosine
      - No
        
        Wide QRS?: > 0.12 sec
        
        Yes
        
        Consider adenosine only if regular and monomorphic, consider antiarrhythmic infusion, consider expert consultation
        
        No
        
        Vagal maneuvers, Adenosine (if regular), Beta blockers or calcium channel blocker, consider expert consultation