NREMT P Static cardiology?

081301

Forum Ride Along
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hi all


I have to retake static at a different location what algorithm should I use the one the school thought me or right off ACLS sheet
School stable SVT
Vomit
Vagal maneuver
Adenosine 6
Adenosine 12
Prepaid Transport to facility capable of handling this pt
If pt is still in SVT
Give versed
And cardiovert
Transport emergent

Or should I use the ACLS algorithm in my book
Vomit
Vagal
Adenosine 6 flush
Adenosine 12 flush
If doesn’t work
Calcium channel blockers or bata blocker
Consider expert consultant
Transport.....
 

DrParasite

The fire extinguisher is not just for show
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sounds like a great question for your paramedic instructor.....
 

Gurby

Forum Asst. Chief
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hi all


I have to retake static at a different location what algorithm should I use the one the school thought me or right off ACLS sheet
School stable SVT
Vomit
Vagal maneuver
Adenosine 6
Adenosine 12
Prepaid Transport to facility capable of handling this pt
If pt is still in SVT
Give versed
And cardiovert
Transport emergent

Or should I use the ACLS algorithm in my book
Vomit
Vagal
Adenosine 6 flush
Adenosine 12 flush
If doesn’t work
Calcium channel blockers or bata blocker
Consider expert consultant
Transport.....

Why do you have to retake? Did they fail you specifically because of how you treated a stable SVT?

I'm having a hard time deciphering what these algorithms mean. Are they both for treating stable SVT?

If I interpret your school algorithm correctly, I think it's bad. You probably should not be cardioverting a stable SVT in the field.
 
OP
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081301

Forum Ride Along
4
1
3
Why do you have to retake? Did they fail you specifically because of how you treated a stable SVT?

I'm having a hard time deciphering what these algorithms mean. Are they both for treating stable SVT?

If I interpret your school algorithm correctly, I think it's bad. You probably should not be cardioverting a stable SVT in the field.
Yes they are both stable SVT
I’m guessing I’ll just go with the ACLS algorithm in the book
 

DrParasite

The fire extinguisher is not just for show
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Vomit? That must be one of the new Class IIb recommendations.
vomit -> vitals oxygen monitor IV transport.... at least that is what I am thinking....
 

Jn1232th

Forum Captain
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I say ACLS. You can't go wrong going off the book.

As for SVT. I'll do vagals, adenosine 6mg/12mg, then a B blocker or CC blocker.

Unless they are hypotensive/signs of shock/ischemic chest discomfort/ acute heart failure/ ALOC then straight to cardioversion.
 

DrParasite

The fire extinguisher is not just for show
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Ohhhh that makes sense!

Let's skip the O2 though unless their SpO2 is low...
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