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Mon Apr 21 10:37:09 BST 2008

5. None of the above. I would give him a shot of Adenosine and see what
happened to the monitor first. [with resuscitation trolley standing by]

Ian Seppelt FANZCA FJFICM
Senior Staff Specialist
Dept of Intensive Care Medicine
The Nepean Hospital, PO Box 63 Penrith NSW 2751
Director of Clinical Research, Sydney West AHS
Clinical Lecturer, University of Sydney

>>> joe.nemeth at mcgill.ca 04/02/08 3:35 am >>>

15 y.o male, prev. healthy...
Kicked in the chest 8 hours prior to presentation...
Feeling "funny" since...
Besides the pulse (180-220/min), all other VS normal...
Exam non-contributory...
ECG attached...

-maybe one prior episode of "palpitations" in the past

Treatment:

1) one of : CCB/BB/Dig
2) electrical cardioversion
3) Amio
4) since pt. stable, wait for peds cardiology to arrive approx 2-3 
hours...("first, do no harm")
5) none of the above

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