Defibrillation + ACLS ECG Visual Reference
Shockable Rhythms
Rhythm ECG Example Description
Ventricular Fibrillation Chaotic, irregular waves, no P waves
Pulseless Ventricular Tachycardia Wide QRS, rapid rate, no pulse
Non-Shockable Rhythms
Rhythm ECG Example Description
Asystole Flat line, confirm in 2 leads
PEA Organized rhythm, no pulse
AV Blocks
Type ECG Example Key Feature
1° AV Block PR > 0.20s constant
Mobitz I PR lengthens → QRS dropped
Mobitz II PR constant → QRS dropped
3° AV Block P & QRS unrelated (AV dissociation)
Tachycardia Rhythms
Rhythm ECG Example Treatment
SVT Vagal maneuvers → Adenosine → Cardioversion
AFib Rate control, anticoag, cardiovert if unstable
Atrial Flutter Rate control, cardiovert if unstable
VT Pulseless: defibrillate; Pulse: antiarrhythmics/cardiovert
Bradycardia Rhythms
Rhythm ECG Example Treatment if Symptomatic
Sinus Brady Atropine → TCP → Dopamine/Epi drip
Junctional Treat cause, pacing if unstable
Heart Blocks Mobitz II & 3°: pacing