SVT/Arrhythmia: Difference between revisions
From Guide to YKHC Medical Practices
No edit summary |
No edit summary |
||
| Line 10: | Line 10: | ||
*If the above converts the arrhythmia, commercial transport to the Bethel ER is appropriate for further evaluation. | *If the above converts the arrhythmia, commercial transport to the Bethel ER is appropriate for further evaluation. | ||
*If symptoms persist, activating a medevac is appropriate to bring this patient to the ER in Bethel, likely already chemically cardioverted by the medevac crew with adenosine. | *If symptoms persist, activating a medevac is appropriate to bring this patient to the ER in Bethel, likely already chemically cardioverted by the medevac crew with adenosine. | ||
[[Emergency RMT Scenarios and Responses]] | |||
Latest revision as of 12:49, 20 November 2020
- A pulse rate of >150/minute is usually consistent with this diagnosis but a 12-lead ECG is helpful for confirmation, which can be completed through Raven.
- In the village clinic, the following can all be attempted while evaluating the patient with CHA
- carotid artery massage
- Valsalva maneuver
- dive reflex (face in basin of ice water)
- If the above converts the arrhythmia, commercial transport to the Bethel ER is appropriate for further evaluation.
- If symptoms persist, activating a medevac is appropriate to bring this patient to the ER in Bethel, likely already chemically cardioverted by the medevac crew with adenosine.
