Adenosine given for a narrow-complex tachycardia over 150
Conclusion
An echocardiogram and CT scan showed that the patient had a massive pulmonary embolus, blocking much of both pulmonary arteries. He had a history of PE and DVT, but was non-adherent with the anticoagulant medication.
Questions:
Was this rhythm a “SVT?”
Were the therapies (vagal maneuver and adenosine) helpful for diagnosis or treatment?
What is the “ACLS approach” to the arrhythmia in this patient?
What would your approach be?
Source: EMS 12-Lead - Category: Cardiology Authors: Brooks Walsh MD Tags: Uncategorized Source Type: research
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