GCEMS Protocol:

 

• Sustained V-Tach
• Narrow Complex Tachycardia
• Ped Unstable Tachycardia

 

INDICATIONS:

 

• PSVT, SVT

 

DOSAGE:

 

ADULT:

 

• 12 mg rapid IV /IO bolus inital dose
• If SVT rhythm has not changed after 5 minutes, may repeat with a second dose of 12 mg rapid IV/IO bolus

 

PEDIATRIC:

 

• 0.1 mg/kg (over 1 to 2 sec) IV /IO followed by rapid saline flush. Max initial dose 6 mg.
• 0.2 mg/kg within 1-2 minutes of continuing SVT – given rapid IV/IO bolus. Max single dose 12 mg.

 

CONTRAINDICATIONS:

 

• Second or third degree A-V block

 

SIDE EFFECTS:

 

• Short-lasting 2° or 3° AV block
• Transient Asystole
• Various arrhythmias lasting only a few seconds