Tachydysrhythmias are generally very sensitive to electric conversion. Initial dose is 2 J/kg. The energy level is doubled if the first attempt is unsuccessful. If the device only has a few energy settings available, choose the one that is closest to the desired energy setting. All tachydysrhythmias should be treated with synchronized cardioversion. If synchronization in not possible (i.e., if the device cannot identify the QRS), then use the defibrillator in the unsynchronized mode.

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