Atropine for Vasovagal Response

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As a 46 year old male, I am fairly certain that crushed fingers would
cause a vasovagal reaction in me at least initially. If the patient
continues to have vv reactions after repair or "tilts" then its time to
look further.
REM
 

-----Original Message-----
From: trauma-list-bounces at trauma.org
[mailto:trauma-list-bounces at trauma.org] On Behalf Of Bjorn, Pret
Sent: Monday, July 24, 2006 2:40 PM
To: Trauma & Critical Care mailing list
Subject: RE: Re: Atropine for Vasovagal Response

-----Original Message-----
From: trauma-list-bounces at trauma.org
[mailto:trauma-list-bounces at trauma.org] On Behalf Of
kokaramc at bellsouth.net
Sent: Monday, July 24, 2006 1:49 PM
To: Trauma & Critical Care mailing list
Subject: Re: Re: Atropine for Vasovagal Response

Neurocardiogenic syncope has to be ruled out.   Always.  No matter how
much the fiO2 is and how long you lie down for.   (beta blockers and
SSRI's)

---


Help me: I missed the part about how atropine is used to rule out
reflex-mediated syncope (AKA neurocardiogenic syncope, of which
vasovagal events are the most common and benign manifestation).  What
ever happened to the old-fashioned tilt test?  

But more than that, I'm stymied at your insistence on ruling out a
vasovagal reaction ("Always") in a 24 yo female with new-onset crushed
fingers.  Might as well try to rule out the crushed fingers while you're
at it.

Pret


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