"              V-tach with pulse, but unstable"
"(pain, infarction, dyspnea, congestive failure, or hypotension)"
"             I.V. (oxygen on, backboard ready)"
"                  CARDIOVERT 50 JOULES"
"      (when hypotension or unconsciousness is present,"
"          non-synchronized shocks are recommended)"
"             no change? CARDIOVERT 100 JOULES"
"             no change? CARDIOVERT 200 JOULES"
"             no change? CARDIOVERT 360 JOULES"
"                  recurrent or no change?"
"                LIDOCAINE 1 MG/KG IV BOLUS"
"                  CARDIOVERT 360 JOULES"
"if hypotensive or unconscious, proceed as per V-fib protocol"
"          with bretylium or lidocaine and defib."
" Otherwise, PROCAINAMIDE 20 MG every minute, up to 1000 MG."
"           ACIDOSIS or ELECTROLYTE abnormality?"
"                keep trying to CARDIOVERT"
" "
"end"

