Ventricular Tachycardia Storm: Controversies in Resuscitation 

Ventricular tachycardia remains one of the most lethal rhythms encountered in prehospital medicine, yet management extends far beyond repeated defibrillation and standard ACLS medications. This masterclass provides a comprehensive, evidence-based review of modern VT management, beginning with the mechanisms that drive ventricular arrhythmias and progressing through pharmacologic and electrical therapies for refractory cases. Topics include antiarrhythmic selection, esmolol and sympathetic blockade, procedural sedation for recurrent cardioversion, vector-change defibrillation and DSED, electrolyte optimization, recognition of reversible causes, and the evolving role of ECMO and early transport to specialized cardiac centers. Using real-world cases and the latest literature, attendees will develop a practical framework for managing ventricular tachycardia from the first shock through advanced rescue therapies.