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[personal profile] clintswan
Words to know :

SVT = Super-ventricular tachycardia = abnormal fast heart flutter
Cardiovert = "normalize" a cardiac rythum

A little bitty 3 month old just came in with SVT from an adult facility.

We tried to cardiovert with adenosine but the med didn't even touch the heart rate of 300 (normal 100 for that age).

While we were waiting for the second round of adenosine to be drawn up, the attending doctor and I shrugged and tried the old fashion way with a bag full of ice. This is called "the divers reflex". Never saw this before cuz its so old fashion. Basically you get a bag of ice (or bucket depending on the size of the patient) and put it all over the head/face/neck. This causes the body to reflexively to slow heartbeat and breathing to save vital functions.

It totally worked....the kid went from 300 to 100 in about 5 seconds.....woohoo!

Who ever said the new way is the best way never saw this!

My job majorly kicks ass sometimes....

Date: 2001-07-03 06:19 am (UTC)
From: [identity profile] mathan.livejournal.com
I remember seeing a documentary where the Russians used to use that method when performing heart surgery, way back in the 80s. I was quite intrigued with it. :o)

Date: 2001-07-03 03:14 pm (UTC)
From: [identity profile] clintswan.livejournal.com
That is true.

Low-tech is sometimes kinda cool...

Date: 2001-07-04 01:10 am (UTC)
From: [identity profile] beardoc.livejournal.com
Woo-hoo!

My guess is I'll go a long time before I see this - if I ever do. Must have been amazing to watch!

Date: 2001-07-04 05:38 am (UTC)
From: [identity profile] clintswan.livejournal.com
I'm telling you....it rocked...!!!!

If you stick around a bit you will see it...

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Clint Swanson

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