Key messages

• Algorithms have been established for treating various life-threatening arrhythmias.

• Ventricular fibrillation and pulseless ventricular tachycardia are treated similarly by countershock.

• The differential causes of electromechanical dissociation must be considered.

• Asystole generally carries a poor prognosis.

• Adverse signs associated with bradycardia and with broad and narrow complex tachycardia need to be assessed as treatment varies.

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