Protocol 2-858 - Supraventricular Tachycardia

Polk, Hickory, Cedar, & St Clair EMS Protocols


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Patient weight (lbs): (kg):


NEMSIS Protocol: 9914147 - Medical-Supraventricular Tachycardia (Including Atrial Fibrillation)

Citations:


Change Log:

DateLink to
previous
version
Description of change
10/04/13pdfAdded rates to BLS Combo Pads.
10/04/13pdfAdded rates and consider to Combo Pads.
10/04/13pdfAdded rates to Combo Pads.
10/04/13pdfAdded consider to Combo Pads.
12/12/14pdfAdded Procainamide if pulmonary edema based on Dr. Nix conversation about a specific patient.
12/12/14pdfMade Cardioversion a DELIBERATE ACTION.
12/12/14pdfMade Cardioversion a DELIBERATE ACTION.
12/15/14Added do not delay for IV.
12/15/14Added do not delay for IV.
03/02/15Removed DELIBERATE ACTION.
03/02/15Removed DELIBERATE ACTION.
04/03/15Removed Procainamide after conversation with Dr. Merk. Clarified when to apply Combo Pads according to age and rates.
04/03/15pdfClarified when to apply Combo Pads according to age and rates.
04/03/15Clarified when to apply Combo Pads according to age and rates.
11/17/15pdfIncreased adult heart rate treatment threshold from 130 to 150.
06/08/16pdfAdded modified valsalva maneuver description.
06/27/16pdfAdded note that IV access must be in an AC space (left is preferred).
06/27/16Added note that IV access must be in an AC space (left is preferred).
08/02/16At the request of Dr. Kramer, remove contraindications for Vagal Maneuver since carotid massage is not listed.
08/24/17pdfRemoved Ativan.
08/24/17pdfRemoved Ativan.
08/24/17pdfRemoved Procainamide.
09/20/17Modified pediatric Versed dosages.
09/20/17Modified pediatric Versed dosages.
11/11/17pdfReplaced Versed and Fentanyl with reference to Protocol 6-050 - Control of Pain for pre-cardioversion.
11/11/17pdfReplaced Versed and Fentanyl with reference to Protocol 6-050 - Control of Pain for pre-cardioversion. Clarified Amiodarone and Cardizem to be given if Adenosine does not work.
08/24/18pdfPer Dr. Kramer, added comment to determinetreat cause of tachycardia before AmiodaroneCardizem.
07/23/19pdfFixed typo.
03/30/20pdfAdded content (without substantive modification) from old Protocol 2-020 - Atrial FibrillationAtrial Flutter.
03/30/20pdfAdded content (without substantive modification) from old Protocol 2-080 - Tachycardia Narrow Stable.
03/30/20pdfAdded content (without substantive modification) from old Protocol 2-090 - Tachycardia Narrow Wide.
03/30/20pdfAdded content (without substantive modification) from old Protocol 2-150 - Wolff-Parkinson-White (WPW).
03/31/20Due to conflicts between old protocols on treatment threshold for children (160180 were both used), heart rate of 180 is new treatment threshold for children.
11/17/20pdfAdded clarification under no pulmonary edema that it also applies to A-Fib patients for Cardizem.
02/19/21pdfAHA 2020 changes to this protocol include more emphasis on determining and treating the cause of tachycardia, adding a maintenance drip of Amiodarone, removing the third Adenosine attempt, and increasing pediatric subsequent cardioversion energy levels.
06/06/21pdfMoved to emsprotocols.online
11/30/21Updated link to Adenosine.
11/30/21Updated link to Albuterol.
11/30/21Updated link to Amiodarone.
02/28/22Updated link for Sodium Bicarb.

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