Adenosine is a treatment, not a diagnostic - JEMS

The Journal of Emergency Medical Services - Patient Cardiac Rhythm Is Important for EMS Adenosine Administration
Original Article : www.jems.com/administration-a...
Identify the ECG rhythm before you use adenosine, not the other way around. Why? Check out the dangers of this practice in this weeks video!
This video was made to supplement the original JEMS article www.jems.com/administration-a... , all scientific references are available in the article

[@jessice293]

I’m an ED nurse and I’ve learnt something I don’t think I’ll ever forget. I struggle with ECG interpretation and this truly helped me. Thank you

[@supersportscience2440]

First time I've understood WPW at all! Haven't seen it in the field yet but now I know why adenosine is contraindicated

[@livingyourbestlife711]

Excellent video. Thanks for sharing!

[@MegaSweetme123]

Very informative

[@JayJLaks]

Very clear. 👍🏻👍🏻👍🏻👍🏻

[@PeteHob]

After watching several of these videos of adenosine administration, I have done a little bit of research. From what I see there are alternatives such as diltiazem that are just as effective without the horrible side effects. So far I haven’t seen any videos that address alternatives. I am hoping if I ever need this treatment, medical department will know about some of the alternatives because I would never submit to.adenosine if I were awake and aware. Thank you in advance.

[@melissagierak4587]

I find this confusing because there was a guy in Afib with RVR and the cardiologist recommended that we give adenosine to slow it down.

[@jimtart4271]

But do all ER cardiologist know this!!!

[@Egonzal316]

What if they don't have WPW, and your 12 lead confirms this. But they in afib with RVR in the 170s? I was told adenosine can be used to slow it down enough to confirm its not SVT.
I love the clearity if your teaching btw.

[@alexfuller60]

absolutely acceptable and common practice among ED doctors

[@user-wr9ks3tf4n]

does atrial flutter+WPW also present as irregular wide tachycardia?

[@weeziteer]

Because the patient has WPW, you’ll still see what’s called the delta wave