PALS: tachycardia - Revision history

Danbot: Danbot moved page PALS: Tachycardia to PALS: tachycardia without leaving a redirect: Naming convention: first word capitalized, subsequent words lowercase

2026-03-22T05:33:44Z

Danbot moved page PALS: Tachycardia to PALS: tachycardia without leaving a redirect: Naming convention: first word capitalized, subsequent words lowercase

← Older revision	Revision as of 05:33, 22 March 2026
(No difference)

ClaireLewis at 19:28, 6 October 2019

2019-10-06T19:28:40Z

← Older revision		Revision as of 19:28, 6 October 2019
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	*Algorithm assumes pulse and adequate perfusion		*Algorithm assumes pulse and adequate perfusion

	==Narrow-Complex==		==[[narrow complex tachycardia\|Narrow-Complex]]==
	===Sinus tachycardia===		===[[Sinus tachycardia]]===
	*Treat underlying cause		*Treat underlying cause

	===Supraventricular===		===[[SVT\|Supraventricular]]===
	*[[Vagal stimulation]] (if will not delay medications/cardioversion)		*[[Vagal stimulation]] (if will not delay medications/cardioversion)
	**Infants/young children: apply ice to face		**Infants/young children: apply ice to face
	**Older children: Carotid sinus massage / Valsalva		**Older children: Carotid sinus massage / [[valsalva maneuver\|Valsalva]]
	*[[Synchronized cardioversion]]		*[[Synchronized cardioversion]]
	**Use if unstable or [[adenosine]] ineffective		**Use if unstable or [[adenosine]] ineffective
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	**0.1mg/kg; immediately flush with 5cc normal saline		**0.1mg/kg; immediately flush with 5cc normal saline

	==Wide-Complex==		==[[wide complex tachycardia\|Wide-Complex]]==
	*[[Adenosine]] for differentiating [[SVT]] from [[ventricular tachycardia]]		*[[Adenosine]] for differentiating [[SVT]] from [[ventricular tachycardia]]
	**Consider only if rhythm is regular and QRS monomorphic		**Consider only if rhythm is regular and QRS monomorphic

Rossdonaldson1 at 05:24, 5 April 2019

2019-04-05T05:24:02Z

← Older revision		Revision as of 05:24, 5 April 2019
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			''This page is for <u>pediatric</u> patients; for adult patients see [[ACLS: Tachycardia]]''
	==Background==		==Background==
	*Algorithm assumes pulse and adequate perfusion		*Algorithm assumes pulse and adequate perfusion

Rossdonaldson1: /* Wide-Complex */

2016-11-15T19:00:52Z

Wide-Complex

← Older revision		Revision as of 19:00, 15 November 2016
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	==Wide-Complex==		==Wide-Complex==
	*[[Adenosine]] for differentiating [[SVT]] from [[VT]]		*[[Adenosine]] for differentiating [[SVT]] from [[ventricular tachycardia]]
	**Consider only if rhythm is regular and QRS monomorphic		**Consider only if rhythm is regular and QRS monomorphic
	*[[Synchronized cardioversion]]		*[[Synchronized cardioversion]]

Rossdonaldson1: /* Supraventricular */

2016-11-15T19:00:04Z

Supraventricular

← Older revision		Revision as of 19:00, 15 November 2016
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	===Supraventricular===		===Supraventricular===
	*Vagal stimulation (if will not delay medications/cardioversion)		*[[Vagal stimulation]] (if will not delay medications/cardioversion)
	**Infants/young children: apply ice to face		**Infants/young children: apply ice to face
	**Older children: Carotid sinus massage / [[Valsalva]]		**Older children: Carotid sinus massage / Valsalva
	*[[Synchronized cardioversion]]		*[[Synchronized cardioversion]]
	**Use if unstable or [[adenosine]] ineffective		**Use if unstable or [[adenosine]] ineffective

Rossdonaldson1: /* Wide-Complex */

2016-11-15T18:55:56Z

Wide-Complex

← Older revision		Revision as of 18:55, 15 November 2016
Line 20:		Line 20:

	==Wide-Complex==		==Wide-Complex==
	*Adenosine for differentiating SVT from VT		*[[Adenosine]] for differentiating [[SVT]] from [[VT]]
	**Consider only if rhythm is regular and QRS monomorphic		**Consider only if rhythm is regular and QRS monomorphic
	*Synchronized cardioversion		*[[Synchronized cardioversion]]
	**Give 0.5-1 J/kg; if unsuccessful increase to 2 J/kg		**Give 0.5-1 J/kg; if unsuccessful increase to 2 J/kg
	**Give 2nd shock consider amiodarone OR procainamide before 3rd shock		**Give 2nd shock consider [[amiodarone]] OR [[procainamide]] before 3rd shock
	***Amiodarone 5mg/kg over 20-60min		***[[Amiodarone]] 5mg/kg over 20-60min
	***Procainamide 15mg/kg over 30-60min		***[[Procainamide]] 15mg/kg over 30-60min

	==See Also==		==See Also==

Rossdonaldson1: /* Supraventricular */

2016-11-15T18:54:56Z

Supraventricular

← Older revision		Revision as of 18:54, 15 November 2016
Line 7:		Line 7:

	===Supraventricular===		===Supraventricular===
	*[[Vagal stimulation]] (if will not delay medications/cardioversion)		*Vagal stimulation (if will not delay medications/cardioversion)
	**Infants/young children: apply ice to face		**Infants/young children: apply ice to face
	**Older children: Carotid sinus massage / Valsalva		**Older children: Carotid sinus massage / [[Valsalva]]
	*[[Synchronized cardioversion]]		*[[Synchronized cardioversion]]
	**Use if unstable or [[adenosine]] ineffective		**Use if unstable or [[adenosine]] ineffective

Rossdonaldson1: /* Narrow-Complex */

2016-11-15T18:54:18Z

Narrow-Complex

← Older revision		Revision as of 18:54, 15 November 2016
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	==Narrow-Complex==		==Narrow-Complex==
	*Sinus tachycardia ~~- treat~~ underlying cause		===Sinus tachycardia===
	*Supraventricular		*Treat underlying cause
	**Vagal stimulation (if will not delay ~~meds~~/cardioversion)
	***Infants/young children: apply ice to face		===Supraventricular===
	***Older children: Carotid sinus massage / Valsalva		*[[Vagal stimulation]] (if will not delay medications/cardioversion)
	**Synchronized cardioversion		**Infants/young children: apply ice to face
	***Use if unstable or adenosine ineffective		**Older children: Carotid sinus massage / Valsalva
	***Give 0.5-1 J/kg; if unsuccessful increase to 2 J/kg		*[[Synchronized cardioversion]]
	****Give 2nd shock consider amiodarone OR procainamide before 3rd shock		**Use if unstable or [[adenosine]] ineffective
	*****Amiodarone 5mg/kg over 20-60min		**Give 0.5-1 J/kg; if unsuccessful increase to 2 J/kg
	*****Procainamide 15mg/kg over 30-60min		***Give 2nd shock consider [[amiodarone]] OR [[procainamide]] before 3rd shock
	**Adenosine		****[[Amiodarone]] 5mg/kg over 20-60min
	***0.1mg/kg; immediately flush with 5cc NS		****[[Procainamide]] 15mg/kg over 30-60min
			*[[Adenosine]]
			**0.1mg/kg; immediately flush with 5cc normal saline

	==Wide-Complex==		==Wide-Complex==

Neil.m.young: Text replacement - "5 mg" to "5mg"

2016-07-20T04:25:23Z

Text replacement - "5 mg" to "5mg"

← Older revision		Revision as of 04:25, 20 July 2016
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	***Give 0.5-1 J/kg; if unsuccessful increase to 2 J/kg		***Give 0.5-1 J/kg; if unsuccessful increase to 2 J/kg
	****Give 2nd shock consider amiodarone OR procainamide before 3rd shock		****Give 2nd shock consider amiodarone OR procainamide before 3rd shock
	*****Amiodarone ~~5 mg~~/kg over 20-60min		*****Amiodarone 5mg/kg over 20-60min
	*****Procainamide ~~15 mg~~/kg over 30-60min		*****Procainamide 15mg/kg over 30-60min
	**Adenosine		**Adenosine
	***0.1mg/kg; immediately flush with 5cc NS		***0.1mg/kg; immediately flush with 5cc NS
Line 23:		Line 23:
	**Give 0.5-1 J/kg; if unsuccessful increase to 2 J/kg		**Give 0.5-1 J/kg; if unsuccessful increase to 2 J/kg
	**Give 2nd shock consider amiodarone OR procainamide before 3rd shock		**Give 2nd shock consider amiodarone OR procainamide before 3rd shock
	***Amiodarone ~~5 mg~~/kg over 20-60min		***Amiodarone 5mg/kg over 20-60min
	***Procainamide ~~15 mg~~/kg over 30-60min		***Procainamide 15mg/kg over 30-60min

	==See Also==		==See Also==

Neil.m.young: Text replacement - "1 mg" to "1mg"

2016-07-19T20:13:29Z

Text replacement - "1 mg" to "1mg"

← Older revision		Revision as of 20:13, 19 July 2016
Line 15:		Line 15:
	*****Procainamide 15 mg/kg over 30-60min		*****Procainamide 15 mg/kg over 30-60min
	**Adenosine		**Adenosine
	***0.~~1 mg~~/kg; immediately flush with 5cc NS		***0.1mg/kg; immediately flush with 5cc NS

	==Wide-Complex==		==Wide-Complex==