Public Safety Training Facility

Monroe Community College
Rochester, New York

MCC Paramedic Program Case of the Month 7/98


Leads I, II, III. Gain of 1


Five minutes after the fist tracing

MCC Graduates should refer to their notes on Rate Dependent Bundle Branch Block, Critical Rate, WCT, and VT vs WCT.

Why Would Lidocaine be potentially harmful or fatal with this dysrhythmia?

* Lidocaine markedly increases AV conduction

* Lidocaine augments an accessory pathway

* Lidocaine increases ventricular automaticity

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Updated: July 1, 1998