Paroxysmal supraventricular tachycardia: improving diagnosis and management within the accident and emergency department

O'Rourke, S F; Sauvage, A; Evans, P A

doi:10.1136/emj.2003.012054

Cited by 15 publications

(6 citation statements)

References 21 publications

(16 reference statements)

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“…Anaemia can induce arrhythmias including SVT . In the present study, only two patients had very low haemoglobin counts and neither was treated for anaemia during their ED stay.…”

Section: Discussionmentioning

confidence: 60%

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Usefulness of laboratory and radiological investigations in the management of supraventricular tachycardia

Ashok

Cabalag

Taylor

2017

Emerg Medicine Australasia

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“…Anaemia can induce arrhythmias including SVT . In the present study, only two patients had very low haemoglobin counts and neither was treated for anaemia during their ED stay.…”

Section: Discussionmentioning

confidence: 60%

“…Anaemia can induce arrhythmias including SVT. 3,8,9 In the present study, only two patients had very low haemoglobin counts and neither was treated for anaemia during their ED stay. For these patients, there was no documentation of any clinical signs of anaemia or other anaemia-related symptoms.…”

Section: Full Blood and Electrolyte Investigationsmentioning

confidence: 54%

Usefulness of laboratory and radiological investigations in the management of supraventricular tachycardia

Ashok

Cabalag

Taylor

2017

Emerg Medicine Australasia

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“…It is a recognised way of seeing whether the intervention has been successful. 11 In our study we saw that even this is not enough and that in the hospital setting with rapid staff changeover, education needs to be ongoing and repeated. Further audit cycles will be needed.…”

mentioning

confidence: 84%

Acute Diarrhoea Management in Emergency; Influencing Antibiotic Prescribing Patterns

Islam¹,

Ahmad²,

Ansari³

et al. 2017

Med Phoenix

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Background: Medical students are taught the internationally accepted approach to acute diarrhoea, viz. adequate fluid and electrolyte replacement is the fundamental management of acute diarrhoea. Antibiotics should be restricted to specific indications, such as acute dysentery. Despite the well known rationale, there has been a high rate of prescription of antibiotics for acute diarrhoea presenting to Emergency. Methods:The pre and post intervention data was collected in the following way. All Emergency case records were routinely scrutinized in the Dept of Family Medicine after discharge with the exception of cases that were admitted to the wards. All cases with a discharge diagnosis fitting the clinical criteria of acute diarrhoeal syndrome: diarrhoea, gastroenteritis, dysentery and cholera were separated, analysed and recorded sequentially.Results: Initially doctors were prescribing antibiotics for 52.8% of case of non-bloody diarrhoea. In the 2nd intervention period there were few cases, but it is remarkable how few were prescribed antibiotic (20%) while the survey of prescribing habits was underway. In the 3rd intervention period when an education event took place, it was the peak of the diarrhoea season. Prescribing increased somewhat to 29%. In the 4th intervention a letter was sent out to the doctors describing the results so far, and pointing out the lower prescribing by "senior doctors". The overall changes in prescribing behaviour after the educational interventions were statistically significant. The reduction in prescribing noted when comparing intervention 1 and intervention 4, is highly significant (antibiotic p < 0.0001, anti-protozoal p<0.0001). In the 5th intervention period when appropriate prescribing was no longer actively promoted, the rate of prescribing increased again to 41.4% of cases. A similar pattern is noted for antiprotozoal prescribing. The increase in prescribing noted in the 5th period was still less than in the 1st period (antibiotic p=0.041, anti-protozoal p=0.055). The increase in prescribing from periods 4 to 5 was significant. (Antibiotics p<0.0001, anti-protozoal p = 0.012).

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“…Signs in infants may include irritability, poor feeding and tachypnea. Diagnosis is not a problem because heart rate is sustained at ≥ 220 beats per minute with a QRS < 0.08 seconds (6). Circulatory collapse with a tachycardia needs DC cardioversion, which should be synchronized.…”

Section: Introductionmentioning

confidence: 99%

Evaluation and Management of Neonatal Supraventricular Tachycardia

et al. 2016

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Background: Supraventricular Tachycardia (SVT) is the most frequent arrhythmia requiring a medical treatment in neonates. Objectives: The aim of our study was to evaluate and manage neonatal supraventricular tachycardia. Methods: This study was performed on 22 newborns that were diagnosed with SVT at two neonatal intensive care units (NICU) in south west of Iran from October 2012 to October 2015. Data on gender, age, weight, maternal age, gestational age, presence of congenital heart disease, blood pressure in admission, duration of hospitalization period, duration of SVT, medicine for the control of SVT, list of medicine administered at releasing time were collected. Echocardiography was performed for all patients. Data was analyzed by the SPSS version 18 software.

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Paroxysmal supraventricular tachycardia: improving diagnosis and management within the accident and emergency department

Cited by 15 publications

References 21 publications

Usefulness of laboratory and radiological investigations in the management of supraventricular tachycardia

Usefulness of laboratory and radiological investigations in the management of supraventricular tachycardia

Acute Diarrhoea Management in Emergency; Influencing Antibiotic Prescribing Patterns

Evaluation and Management of Neonatal Supraventricular Tachycardia

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