Sinus Tach maneuver name?

[piranah]

not really they find it funny and interesting....if they are stable...why not its better then pumping them full of adenosine....its the mammilian diving reflex like rid said...dunk pedi's face in ice real quik and it works well....

 

[tydek07]

Are some of you guys allowed to do carotid sinus massage?

MM

We are told to not do that anymore here. We are to go with the valsalva maneuver. B)

 

[Ridryder911]

We are told to not do that anymore here. We are to go with the valsalva maneuver. B)

That is a local restriction. It is well accepted from the AHA & ECC to perform if properly educated and know the risks (check for carotid bruits >65 and left side only). Digital Anal circumvent sweep is also accepted but I doubt we see this popular.

R/r 911

 

[medic417]

Digital Anal circumvent sweep is also accepted but I doubt we see this popular.

R/r 911

LOL. I can see a fight happening before that is implemented.

 

[reaper]

That is a local restriction. It is well accepted from the AHA & ECC to perform if properly educated and know the risks (check for carotid bruits >65 and left side only). Digital Anal circumvent sweep is also accepted but I doubt we see this popular.

R/r 911

I have always found that bilateral Carotid massage will work every time, to end SVT!

 

[Melbourne MICA]

Whoah!!!

I have always found that bilateral Carotid massage will work every time, to end SVT!

Do you guys have any stats on success rates, rates of side effects from the above being performed in the field - how does it stack up to adenosine eg?

We still use just valsalva +/- verapamil/aramine - adenosine is coming. We were supposed to have adenosine years ago but there were concerns re the asthmatic pt - one of our docs found some obscure studies re that problem.

There is another aspect to this which is the licensing of your practice. In our system we operate under the lincensure of our services docs - we stuff up big time its potentially their arses (medical license) on the line.

Are you given a bit more legal scope hence the carotid massage and extended drug portfolios you carry?

Its quite an interesting area of work - arrhythmia management.

MM

 

[reaper]

Do you guys have any stats on success rates, rates of side effects from the above being performed in the field - how does it stack up to adenosine eg?

We still use just valsalva +/- verapamil/aramine - adenosine is coming. We were supposed to have adenosine years ago but there were concerns re the asthmatic pt - one of our docs found some obscure studies re that problem.

There is another aspect to this which is the licensing of your practice. In our system we operate under the lincensure of our services docs - we stuff up big time its potentially their arses (medical license) on the line.

Are you given a bit more legal scope hence the carotid massage and extended drug portfolios you carry?

Its quite an interesting area of work - arrhythmia management.

MM

That was actually a joke ["bilat Carotid massage"]! We are allowed Carotid massage, but it is not used that often.

 

[medic417]

Do you guys have any stats on success rates, rates of side effects from the above being performed in the field - how does it stack up to adenosine eg?

We still use just valsalva +/- verapamil/aramine - adenosine is coming. We were supposed to have adenosine years ago but there were concerns re the asthmatic pt - one of our docs found some obscure studies re that problem.

There is another aspect to this which is the licensing of your practice. In our system we operate under the lincensure of our services docs - we stuff up big time its potentially their arses (medical license) on the line.

Are you given a bit more legal scope hence the carotid massage and extended drug portfolios you carry?

Its quite an interesting area of work - arrhythmia management.

MM

Bilateral is 100% effective at killing the patient so guess you would say it stops tachycardia 100% of the time.

 

[reaper]

Hey, you got the joke!

 

[Melbourne MICA]

Bilateral is 100% effective at killing the patient so guess you would say it stops tachycardia 100% of the time.

I was repeating a previous query about the succeses or otherwise of CSM by EMS types.

Oh all right - I didn't get the joke!!! That's what happens when you become geriatric.

MM

 

[reaper]

The old brain is slipping!!!!!!!