UMEM Educational Pearls

Category: Pediatrics

Title: Pediatric SVT

Keywords: SVT, pediatric tachycardia (PubMed Search)

Posted: 1/16/2009 by Don Van Wie, DO (Emailed: 1/17/2009) (Updated: 9/24/2021)
Click here to contact Don Van Wie, DO

Six indications that would lead you to suspect SVT in children:

  • history incompatible (no history fever, volume loss, hemorrhage or pain
  • P waves absent /abnormal
  • HR does not vary with activity
  • Abrubt rate changes
  • Infants : rate usually >220
  • Children : rate usually >180

Remember in the stable child treat withe Adenosine 0.1mg/kg rapid IV push followed by rapid flush.

In the unstable child treat with synchronized cardioversion 0.5 -1 Joules/kg.