Ready Steady Blow

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Authors: Nikki Abela , Yvette Ruddock / Codes: CAP25, CC3, CMP5, HAP23, PMP5 / Published: 13/01/2016

Ready

Steady

Blow

@nikkiabela @yvette_ruddock

A basic overview of the management of a common tachycardia in the ED – SVT.

If this is something you’re not comfortable with, or just want to jog your memory, have a listen through, as we talk you through the ALS/APLS guidance.

The algorithm is here as a visual guide:

And here is the APLS algorithm:

If you haven’t heard of the revert trial, you really want to at least see their video of the modified Valsalva manoeuvre as the results of this trial are pretty impressive (by using the modified Valsalva instead of a standard manouvre, we could avoid using adenosine in one out of every 5.3 patients treated).

You can watch the video here:

Still a bit skeptical? (or sceptical, you choose) – the guys at St.Emlyns have kindly shared their journal club here.

If you want to take things a bit further and read up on other agents, this RAGE/RAGEback is a good place to start.

*Special thanks to Andy Neill & Simon Laing for their review and edit of this podcast*

Ciao for now,

Nikki

Further reading

• http://stemlynsblog.org/the-revert-trial/
• http://www.thelancet.com/journals/lancet/article/PIIS0140-6736(15)61485-4/abstract
• http://ragepodcast.com/rageback-minh-le-cong-verapamil-svt/
• https://lms.resus.org.uk/
• www.apls.org.au