Here’s the answer to VAQ 8. It’s a bit of tricky one, and there’s bound to be some controversy over what the actual rhythm is, and what sequence one should do things in the management. NB I didn’t mention DCR as part of the management, as the rhythm is unclear. I don’t think you’d fail if you DCR’d this guy for a possible SVT, but given that you’d be giving sedatives to do it, you’d probably want to do it afer you’d thrombolysed, started inotropes and intubated him. Anyway hope you find this useful, and feel free to leave a comment!