The Use of the Modified Valsalva Maneuver for Stable SVT

In Medical Concepts, Tiny Tips by Paula Sneath0 Comments

Please note that, while “supraventricular tachycardia (SVT)” is a term that can be used more broadly to refer to any tachyarrhythmia originating above the ventricles, I use its more conventional meaning here to describe AVnRT and AVRT. LITFL has a good summary of narrow-complex tachycardias. SVT is a narrow complex tachycardia commonly seen in the emergency department. In hemodynamically stable patients the first-line treatment is vagal stimulation, usually the Valsalva maneuver. However, success …

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CAEP FEI | Mini-curriculum in Management

In Featured, Featured Education Innovations (FEI) by Pierre Désaulniers0 Comments

Mitch is a fifth year resident who is excited by the prospect of entering practice. He has always wanted to play an important role in managing the emergency department and has aspirations of becoming a department head. Mitch recognizes that his career goals will require him to take up new responsibilities such as personnel management and policy development. He wonders if there is anything in the residency curriculum that will help him prepare for these …

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The Long and Short of Needleless IV Extension Sets

In Case Series, Featured by Riley Hartmann0 Comments

While working nights with an EMS crew, you arrive on scene to find a 24 year-old male who was thrown from his vehicle at highway speeds. You estimate that there was 1500 mLs of blood loss visible on the road, with active bleeding from his left femur and abdominal guarding. After applying a C-spine collar, a pressure dressing, and moving him into the back of the ambulance, you start an 18 gauge IV …