Emergency medicine Australasia : EMA
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Emerg Med Australas · Feb 2015
Measuring the effectiveness of a revised clinical practice guideline for the pre-hospital management of supraventricular tachycardia.
To evaluate the effect of changes to the pre-hospital management of patients with supraventricular tachycardia (SVT) following intervention with a revised Clinical Practice Guideline (CPG). The major CPG revisions were removal of verapamil, addition of adenosine and an emphasis on Valsalva manoeuvre. ⋯ The revised CPG improved pre-hospital SVT reversion success. This expansion of practice has not demonstrated improvements to utilisation or effectiveness of the Valsalva manoeuvre. Adenosine is effective and safe for pre-hospital use.