Objectives
Medical Education
- To identify the SVT Rhythm
- Know how to treat SVT (Vagal, Medication, Cardioversion)
Crisis Resource Management (CRM)
- Shows proper closed loop communication
- Shares mental model
- Delegates Task Appropriately
Case Stem
6 year old boy presents to the ED with a history of shortness of breath, chest pain, and dizziness. He states that he can “feel his heart beating too hard”.
During triage assessment, the nurse is unable to auscultate a heart rate as she finds it too fast to count. The patient is then brought into the resuscitation room and the ER response is activated.
Past Medical History/Background
Estimated Weight (not to be told): (3 x age) +7= 25 kg
A: NKA.
M: None
P: History of syncope and intermittent palpitations over past year (no diagnosis). Immunizations UTD
L: 6 hours ago
E: Sudden onset of shortness of breath, chest pain, dizzy
Learning Material
Tachychardia with Pulses and Poor Perfusion
Checklist
Supplemental Material
Supraventricular Tachycardia
Salerno, 2009