{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,21]],"date-time":"2026-02-21T21:48:18Z","timestamp":1771710498084,"version":"3.50.1"},"reference-count":25,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2014,6,16]],"date-time":"2014-06-16T00:00:00Z","timestamp":1402876800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Emerg Medicine Australasia"],"published-print":{"date-parts":[[2014,8]]},"abstract":"Abstract<\/jats:title>Objective<\/jats:title>The present study examined patient demographics, characteristics and the effectiveness of current prehospital supraventricular tachycardia (SVT<\/jats:styled-content>) management by ambulance paramedics in V<\/jats:styled-content>ictoria, A<\/jats:styled-content>ustralia.<\/jats:p><\/jats:sec>Method<\/jats:title>We conducted a retrospective study of all V<\/jats:styled-content>ictorian patients attended by paramedics between 14 February 2012 and 13 February 2013, where SVT<\/jats:styled-content> was the initial or final diagnosis. Patients were excluded if SVT<\/jats:styled-content> was not captured on ECG<\/jats:styled-content>, incomplete data were recorded, or SVT<\/jats:styled-content> began after initial assessment. Data were extracted from the VACIS<\/jats:styled-content>\u00ae<\/jats:sup> clinical data warehouse. Accuracy of paramedic SVT<\/jats:styled-content> diagnosis was examined.<\/jats:p><\/jats:sec>Results<\/jats:title>Nine hundred and thirty\u2010three patients were enrolled, including 882 (94.5%) adults and 564 (60.5%) women. Mean adult and paediatric (<18 years) patient ages were 57.5 (SD<\/jats:styled-content> 18.1) and 10.0 (SD<\/jats:styled-content> 4.5) years, respectively. Median ambulance response time was 11.0 (IQR<\/jats:styled-content> 8.0) min. Paramedics correctly identified SVT<\/jats:styled-content> in 119\/123 (96.7%, 95% CI<\/jats:styled-content>: 91.5, 99.0) of adult ECG<\/jats:styled-content> strips examined. There were 273\/882 (31.0%) patients who spontaneously reverted while in paramedic care. Valsalva manoeuvre was undertaken by 212\/882 (24.0%) patients and reverted the SVT<\/jats:styled-content> in 99\/358 (27.7%) attempts. Verapamil was administered to 38\/882 (4.3%) patients and reverted 33 (86.8%). Aramine was administered to 43\/882 (4.9%) patients and 35 reverted following administration (81.4%). Synchronised cardioversion (70 J<\/jats:styled-content>) reverted four patients at first attempt. Ultimately, 438 (49.7%) patients remained in SVT<\/jats:styled-content> on arrival at hospital.<\/jats:p><\/jats:sec>Conclusion<\/jats:title>Patient characteristics associated with SVT<\/jats:styled-content> are more likely to be middle\u2010aged women with a history of hypertension and hypercholesterolaemia. Therapies were underutilised leading to reduced clinical guideline effectiveness. Where therapies were instigated, reversion rates are greater than previously reported.<\/jats:p><\/jats:sec>","DOI":"10.1111\/1742-6723.12248","type":"journal-article","created":{"date-parts":[[2014,6,16]],"date-time":"2014-06-16T23:16:46Z","timestamp":1402960606000},"page":"350-355","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":15,"title":["Prehospital management of supraventricular tachycardia in V<\/scp>ictoria, A<\/scp>ustralia: Epidemiology and effectiveness of therapies"],"prefix":"10.1111","volume":"26","author":[{"given":"Gavin","family":"Smith","sequence":"first","affiliation":[{"name":"Epidemiology and Preventive Medicine Monash University Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David","family":"McD Taylor","sequence":"additional","affiliation":[{"name":"Emergency Austin Health Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amee","family":"Morgans","sequence":"additional","affiliation":[{"name":"Innovation, Policy and Research Benetas Melbourne Victoria Australia"},{"name":"DCEHPP Monash University Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peter","family":"Cameron","sequence":"additional","affiliation":[{"name":"Epidemiology and Preventive Medicine Monash University Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2014,6,16]]},"reference":[{"key":"e_1_2_8_2_1","unstructured":"Ambulance Victoria.CPG A0403: Supraventricular Tachycardias.Ambulance Victoria Clinical Practice Guidelines2009(September 2009)."},{"key":"e_1_2_8_3_1","unstructured":"South Australian Ambulance Service.Supraventricular Tachycardia.South Australian Ambulance Service Clinical Practice Guideline2009:2."},{"key":"e_1_2_8_4_1","unstructured":"Australian Capitol Territory Ambulance.Guideline 8: Tachycardias.ACT Ambulance Clinical Management Guidelines2010."},{"key":"e_1_2_8_5_1","unstructured":"Ambulance Service New South Wales.Dysrhythmias \u2013 Tachycardia.Ambulance Service New South Wales Clinical Guidelines2011(12\/10\/2011)."},{"key":"e_1_2_8_6_1","unstructured":"Queensland Ambulance Service.Narrow Complex Tachycardia.Queensland Ambulance Service Clinical Practice Manual2011."},{"key":"e_1_2_8_7_1","unstructured":"Ambulance Victoria.Ambulance Victoria Annual Report 2011\u201312: Ambulance Victoria 2012:98."},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1553-2712.1996.tb03467.x"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/0735-6757(95)90119-1"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0196-0644(94)70128-8"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0196-0644(95)70039-0"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0196-0644(95)70179-6"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9149(91)90725-Z"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9149(02)03257-5"},{"key":"e_1_2_8_15_1","first-page":"508","article-title":"A prospective study of electrical cardioversion for sustained tachycardias by emergency unit personnel","volume":"85","author":"Van Der Watt MJ","year":"1995","journal-title":"S. 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