That is a horrible EMS myth, Jon. I've reviewed cases where Adenocard was given to sinus tachycardia, simply because it was 160 bpm and "couldn't have been sinus". Somewhere along the way (probably in paramedic school) someone taught them this! Which makes me wonder, since we're almost all agreed that paramedics need to be able to interpret an ECG (3-lead and 12-lead) to a high level, who will teach the teachers? I sense that many paramedic students are taught sub-standard 12 lead ECG interpretation (or none at all) because their instructors never learned, or took a crash course and don't know what they don't know. I just took Tim Phalen's online course through ECG Solutions, and I thought it was pretty good, at least for basic STEMI recognition. Incidentally, if you're a paramedic from NC, SC, or WV you can take the training online for free.
On Tue, Jul 14, 2009 at 7:07 AM, <kavinin@...> wrote:
Only because I know someone has the answer... Where did the rate of 150 come to be the determinant between "SVT" and non? Why don't all monitors allow the user to print at a faster speed and have trained interpreters be able to interpret the rhythm?
This is a woman come in ewith plapitation and normal BP. Canon A wave was seen. No P wave can be seen.Rate is less than 150. R wave in Avr lead. No retrograde...
Just to clarify, SVT is an umbrella term for all non-ventricular tachycardias. So the right question is, "What kind of SVT is this?" Tom Sent from my iPhone...
Only because I know someone has the answer...? Where did the rate of 150 come to be the determinant between "SVT" and non?? Why don't all monitors allow the...
That is a horrible EMS myth, Jon. I've reviewed cases where Adenocard was given to sinus tachycardia, simply because it was 160 bpm and "couldn't have been...
Tom: My point is clarified here and in the other posts.? SVT is a largely non-specific term (vs VT) for rhythms with a rate at or above 150, when, really,...
a few things, using heart rate alone is not a good way to make an ecg dx, think about a "nornal" stress test, a 20y old would be expected to hit 200bpm (sinus)...
What kind of SVT is it, Haval Lutfalla? Sinus tachycardia? AF w/RVR? AVNRT? AVRT? Junctional tach? Calling it SVT only points toward a group of abnormal heart...
Chill out all we are on the same side :-). It is important to label things correctly because when you for example say VT everyone knows what you mean, can draw...
 Sorry for my quick typing before.  I know SVT is a large pool of all kind include the junctional tachycardia.  No P wave: not sinus tachycardiaof course...
I will come out of "lurker mode" and give my two cents on this one. I would go with junctional tach for a couple of reasons. First, the rate is such that if P...
Robert just to chime in the heart rate thing. 220 - age * 0.85 is the normal "expected" heart rate for someone during exercise. I've seen it be much lower (if...
Robert Vroman wrote: <snip> "As far as the subsequent discussion of rates goes, my understanding is that the category of SVT is not really considered until the...
"Once you accept that sinus tachycardia is a form of SVT, this view is no longer tenable." This of course may be semantics and the opinions of various people,...
Yes, it does usually cause a distortion of some kind in the preceding T-wave, but if they're all identical (1:1 relationship to the QRS/T) then it's hard to...
Tom- It is hard to get people to understand that, it is far easier to accept the easy term than to read the fine print. ===================================== ...
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