Unstable SVT in the ED

A 5 day old infant is brought to the emergency department with irritability, decreased oral intake, hypoactivity, and tachycardia. He was intubated for transport here. He has given adenosine twice for supraventricular tachycardia and now requires further intervention.

 

Learning Objectives

Unstable SVT should be treated with cardioversion

– Scenario only resolves when learner performs cardioversion

– Once adenosine has been given twice correctly with no effect, it is of little utility to give additional doses

– Additional doses don’t advance simulation

– Fluid to optimize preload can temporarily stabilize a patient with an arrhythmia-associated hypotension

Interested in this scenario?

Sign up to talk with a member of the SimX team today!

MINIMUM:

OS: Windows 10
Processor: Intel Core i5-2300 | AMD FX-4350
Memory: 4 GB RAM
Graphics: Nvidia GeForce GTX 2060
DirectX: Version 11
Storage: 12 GB available space

RECOMMENDED:

OS: Windows 10
Processor: Intel Core i7-2300 | AMD FX-4350
Memory: 8 GB RAM
Graphics: Nvidia GeForce GTX 3060
DirectX: Version 11
Storage: 12 GB available space