SVT/Arrhythmia

From Guide to YKHC Medical Practices

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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.
  • 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.