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CAUTION: THESE NOTES CONTAIN SPOILERS!!!
Case Introduction
You are sitting at your computer on an otherwise beautiful Friday afternoon when a mother brings her 16 year old son to the ED with chief complaint of allergic reaction.
Initial Vitals
- Temp 98.7
- HR 155
- RR 28
- BP 125/85
- O2 99%
Critical Actions
- Interpret ECG
- Interview patient alone (and identify trigger)
- Perform vagal maneuver
- Administer Adenosine
- Discharge patient
Final Diagnosis
Supraventricular Tachycardia
Tips and Tricks
- Interview pediatric patients without family members in the patient’s room
- Escort family out of patient room during invasive procedures
- Ask about / rule out potential triggers (caffeine use, drugs, ischemia, electrolyte abnormalities, etc)
Further Reading
The REVERT Trial (RebelEM)
I really appreciate your podcast !! I just listen to this whole series from round 1 and its amazing how mike grow clinically I just love it. He is a smart guy. Thanks and wish me luck in my exam this week.
Thank you for the comment! Good luck on your exam!