Ep. 155 Deep Dive: Adenosine Dosing in SVT - Is 12 the New 6?

Ep. 155 Deep Dive: Adenosine Dosing in SVT - Is 12 the New 6?

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 Article

Fernandez, 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

Tämä jakso on lisätty Podme-palveluun avoimen RSS-syötteen kautta eikä se ole Podmen omaa tuotantoa. Siksi jakso saattaa sisältää mainontaa.

Jaksot(100)

Ep. 162: Route of Midazolam Administration for Pediatric Seizures

Ep. 162: Route of Midazolam Administration for Pediatric Seizures

Welcome to the Prehospital Emergency Care Podcast! Rapid seizure termination is one of the most important priorities in pediatric prehospital care, yet establishing intravenous access can delay treatm...

5 Heinä 48min

Ep. 161: Willingness to Recommend the Profession

Ep. 161: Willingness to Recommend the Profession

Welcome to the Prehospital Emergency Care Podcast! In this episode, Greg Muller discusses the article Promotion of Emergency Medical Services: A National Analysis of Clinician Willingness to Recommend...

4 Kesä 29min

Ep. 160: The Prehospital Trauma Compendium - Prehospital Blood, Vasopressors, TXA, and Traumatic Cardiac Arrest

Ep. 160: The Prehospital Trauma Compendium - Prehospital Blood, Vasopressors, TXA, and Traumatic Cardiac Arrest

Welcome to the Prehospital Emergency Care Podcast! In this episode, hosts Jeremiah Escajeda, Greg Muller, and Ariana Weber discuss four of the sixteen articles from the Prehospital Trauma Compendium. ...

19 Huhti 34min

Ep. 159 Deep Dive: Trends in Prehospital First-Attempt Use of Supraglottic Airwasy in Non-Cardiac Arrest Patients: A Descriptive Study

Ep. 159 Deep Dive: Trends in Prehospital First-Attempt Use of Supraglottic Airwasy in Non-Cardiac Arrest Patients: A Descriptive Study

Welcome to the Prehospital Emergency Care Journal Podcast! In this Deep Dive episode, host Maia Dorsett speaks with Aaron E. Robinson, Sarah K. S. Knack, and Michael C. Perlmutter about their paper, T...

9 Maalis 43min

Ep. 158: Special Episode - Prehospital Care for Patients with Opioid Use Disorder

Ep. 158: Special Episode - Prehospital Care for Patients with Opioid Use Disorder

Are you ready for NAEMSP?! In this special edition of the Prehospital Emergency Care podcast, host Greg Muller is joined by Guest Editor Remle Crowe to discuss the journal's latest special issue: "Enh...

28 Tammi 1h

Ep. 157: Special Episode - Prehospital Management of Spinal Cord Injuries

Ep. 157: Special Episode - Prehospital Management of Spinal Cord Injuries

Happy Turkey Day! Join host Dr. Phil Moy as we dive straight into a topic that has "stirred up more conversation than a potluck dinner at an EMS station": the prehospital management of spinal injuries...

27 Marras 202531min

Ep. 156 Deep Dive: Rapid Discharge Following Air Transport in Children

Ep. 156 Deep Dive: Rapid Discharge Following Air Transport in Children

Is Air EMS Overutilized for Kids? Tune in to the latest PEC Podcast! Editors Maia Dorsett and Joelle Denofrio-Odmann sit down with authors Dr. Vishal Naik and Dr. Sriram Ramgopal to unpack their compe...

14 Loka 202545min

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