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Ep. 155 Deep Dive: Adenosine Dosing in SVT - Is 12 the New 6?
Manage episode 505380841 series 3558101
Hawnwan Philip Moy, Hawnwan Moy, Scott Goldberg, Jeremiah Escajeda, Joelle Donofrio-Odmann, Maia Dorsett, and Leshmi Kumar에서 제공하는 콘텐츠입니다. 에피소드, 그래픽, 팟캐스트 설명을 포함한 모든 팟캐스트 콘텐츠는 Hawnwan Philip Moy, Hawnwan Moy, Scott Goldberg, Jeremiah Escajeda, Joelle Donofrio-Odmann, Maia Dorsett, and Leshmi Kumar 또는 해당 팟캐스트 플랫폼 파트너가 직접 업로드하고 제공합니다. 누군가가 귀하의 허락 없이 귀하의 저작물을 사용하고 있다고 생각되는 경우 여기에 설명된 절차를 따르실 수 있습니다 https://ko.player.fm/legal.
Welcome to the Prehospital Emergency Care Journal Podcast!
In this PEC Podcast Deep Dive, Rebecca Cash and Maia Dorsett interview Dr. Tony Fernandez about his recent PEC paper comparing initial prehospital adenosine doses of 6 mg versus 12 mg for presumed SVT. We explore the study’s origins, dataset design, and results—including the finding that starting with 12 mg was associated with higher rates of cardioversion and fewer redoses without an increase in complications. Along the way, we discuss the quirks of EMS data, why some “standard” practices exist without strong evidence, and how retrospective studies fit into the bigger picture of protocol change.
For those whose interest in study methods was piqued, here’s a great short primer on odds ratios versus relative risk: https://www.youtube.com/watch?v=dWtzaKYFg00&t=175s
Featured ArticleFernandez, A. R., Bourn, S. S., Duncan, D., Slovis, C. M., Crowe, R. P., Treichel, A., & Myers, J. B. (2025). Comparing Prehospital Adenosine Initial Dosing of 6 mg Versus 12 mg for Presumed Paroxysmal Supraventricular Tachycardia (PSVT). Prehospital Emergency Care, 1–6. https://doi.org/10.1080/10903127.2025.2504521 🔗 Read the article: https://www.tandfonline.com/doi/abs/10.1080/10903127.2025.2504521
As always THANK YOU for listening.
Hawnwan Philip Moy MD (@pecpodcast)
Scott Goldberg MD, MPH (@EMS_Boston)
Jeremiah Escajeda MD, MPH (@jerescajeda)
Joelle Donofrio-Odmann DO (@PEMems)
Maia Dorsett MD PhD (@maiadorsett)
Lekshmi Kumar MD, MPH(@Gradymed1)
Greg Muller DO (@DrMuller_DO)
Ariana Weber MD (@aweberMD4)
Rebecca Cash PhD (@CashRebeccaE)
Michael Kim MD (@michaeljukim)
Rachel Stemerman PhD (@steminformatics)
Nikolai Arendovich MD
100 에피소드
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