SVT

What this episode covers

<br /> Three of my favorite letters in the Pediatric Emergency Department are S, V and T. This episode of PEM Currents, the Pediatric Emergency Medicine Podcast focus on the diagnosis and management of paroxysmal supraventricular tachycardia in the ED. I discuss preparation, vagal maneuvers, cardioversion, disposition and more!<br /> <br /> <br /> <br /> <a href="http://www.pemblog.com">PEMBlog.com</a><br /> <br /> <br /> <br /> <a href="http://www.twitter.com/PEMTweets">@PEMTweets on Twitter</a><br /> <br /> <br /> <br /> <a href="http://facebook.com/PEMTweets">Facebook</a><br /> <br /> <br /> <br /> References<br /> <br /> <br /> <br /> <a href="https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(15)61485-4/fulltext">Appelboam, et al. Postural modification to the standard Valsalva manoeuvre for emergency treatment of supraventricular tachycardias (REVERT): a randomised controlled trial. The Lancet, 2015.</a><br /> <br /> <br /> <br /> <a href="https://europepmc.org/abstract/med/8780485">Friedman. Intraosseous adenosine for the termination of supraventricular tachycardia in an infant. Annals of EM, 1996</a><br /> <br /> <br /> <br /> <a href="https://www.jpeds.com/article/S0022-3476(81)80578-1/fulltext">Garson et al. Supraventricular tachycardia in children: Clinical features, response to treatment, and long-term follow-up in 217 patients. The Journal of Pediatrics, 1981.</a><br /> <br /> <br /> <br /> <a href="https://www.ncbi.nlm.nih.gov/pubmed/8193689/">Getschman SJ et al. Intraosseous adenosine. As effective as peripheral or central venous administration? Arch Pediatr Adolesc Med. 1994 Jun;148(6):616-9.</a><br /> <br /> <br /> <br /> <a href="https://www.ncbi.nlm.nih.gov/pubmed/22217885">Goodman et al. Intraosseous infusion is unreliable for adenosine delivery in the treatment of supraventricular tachycardia. Peds Emerg Care, 2012</a>.<br /> <br /> <br /> <br /> <a href="https://www.aliem.com/2012/12/trick-of-trade-combine-adenosine-and/">Hayes, Tricks of the Trade: Combine Adenosine with the Flush. Academic Life in Emergency Medicine, 2012. Accessed June 3, 2019.</a><br /> <br /> <br /> <br /> <a href="https://www.ajconline.org/article/0002-9149(94)90914-8/fulltext">Müller et al. “Vagal maneuvers” and adenosine for termination of atrioventricular reentrant tachycardia. The American Journal of Cardiology, 1994.</a><br />