Definition Of Cardiac Failure

Cardiac failure is present when the heart cannot provide all organs with the blood supply appropriate

Atrial fibrillation

If appropriate, give oxygen and establish ¡.v. access

High risk?

Heart rate >150 heats miri

Ongoing chest pain Critical perfusion

Intermediate risk?

Rate 100-150 beats min 1 Brcatlilessness

Low risk

* Heart rate < 100 beats min 1 - Mild or no symptoms

* Good perfusion

Seek expert help ■

Immediate heparin and synchronised DC shockt 100 J : 200 J : 360 J or equivalent biphasic energy

Amiodarone 300 mg i.v. over 1 h. If necessary, may be repeated once

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