SVT/Arrhythmia: Difference between revisions
From Guide to YKHC Medical Practices
(Created page with "*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 cl...") |
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[[media:pediatric critical care guide.pdf|Pediatric Critical Care Guide]] | |||
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*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. | *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 | *In the village clinic, the following can all be attempted while evaluating the patient with CHA | ||
Revision as of 01:10, 31 August 2019
- 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.
