SVT/Arrhythmia
From Guide to YKHC Medical Practices
- 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.
