Is SVT an ischaemic arrhythmia?

We often see patients presenting with SVT. They often have ST changes, so we have to ask; Is SVT an ischaemic arrhythmia? The answer is no, but beware as it can trigger ischaemia. Let’s look at some cases. ST segment depression occurs during supraventricular tachycardias but is transient and usually resolves following conversion to sinus…

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Important Studies in Emergency Medicine

Below are some important studies in Emergency Medicine. There certainly are more, however these are the most recent and relevant. More will be added to this page regularly. TRAUMA Sherren PB et al. Algorithm for the resuscitation of traumatic cardiac arrest patients in a physician-staffed helicopter emergency medical service. Critical Care 201317(Suppl 2):P281 The authors here looked…

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A New Way to Give Adenosine in SVT

I’ve been speaking and writing about Supra Ventricular Tachycardia(SVT)  a lot recently. Perhaps because of the number of cases coming in. Someone mentioned a new way to give adenosine for SVT. A recent post on Academic Life in Emergency Medicine, also mentioned this approach.   Traditionally we administer the adenosine in a 6mg  dose via…

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Supraventricular Tachycardia(SVT) in Infants

A mother brings her 7 month old son to the Emergency Department, as he has been irritable for the last 2 days.  There have been no major problems, apart from the irritability, that she can pinpoint, perhaps some slight feeding issues and some fever two days ago, but that is all. The local doctor had…

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