{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,21]],"date-time":"2026-02-21T21:48:23Z","timestamp":1771710503458,"version":"3.50.1"},"reference-count":35,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2015,1,16]],"date-time":"2015-01-16T00:00:00Z","timestamp":1421366400000},"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":[[2015,2]]},"abstract":"Abstract<\/jats:title>Objective<\/jats:title>To evaluate the effect of changes to the pre\u2010hospital management of patients with supraventricular tachycardia (SVT) following intervention with a revised C<\/jats:styled-content>linical P<\/jats:styled-content>ractice G<\/jats:styled-content>uideline (CPG<\/jats:styled-content>). The major CPG<\/jats:styled-content> revisions were removal of verapamil, addition of adenosine and an emphasis on V<\/jats:styled-content>alsalva manoeuvre.<\/jats:p><\/jats:sec>Method<\/jats:title>We undertook a retrospective case study using data collected by paramedics. All adult patients attended by paramedics from the periods 14 F<\/jats:styled-content>ebruary 2012 to 14 S<\/jats:styled-content>eptember 2012 (old CPG<\/jats:styled-content>) and 14 F<\/jats:styled-content>ebruary 2013 to 14 S<\/jats:styled-content>eptember 2013 (revised CPG<\/jats:styled-content>) were included. Patients were excluded if SVT<\/jats:styled-content> was not recorded during initial assessment on a hardcopy ECG<\/jats:styled-content>. Management guided by the old and revised CPGs<\/jats:styled-content> was compared: reversion effectiveness, elements of therapy associated with reversion effectiveness and adverse events. Logistic regression determined patient factors significantly associated with reversion.<\/jats:p><\/jats:sec>Results<\/jats:title>Patients were predominantly women, aged approximately 57 years old and most lived in the V<\/jats:styled-content>ictorian metropolitan region. Vagal manoeuvre use and effectiveness decreased in the post\u2010intervention group. Fewer patients in the post\u2010intervention group (141\/420, 33.6%) remained in SVT<\/jats:styled-content> on arrival at hospital compared with the pre\u2010intervention group (205\/403, 50.8%). Initial heart rate >170\/min and longer scene time were 2.6 and 1.05 times more likely to result in reversion, respectively.<\/jats:p><\/jats:sec>Conclusion<\/jats:title>The revised CPG<\/jats:styled-content> improved pre\u2010hospital SVT<\/jats:styled-content> reversion success. This expansion of practice has not demonstrated improvements to utilisation or effectiveness of the V<\/jats:styled-content>alsalva manoeuvre. Adenosine is effective and safe for pre\u2010hospital use.<\/jats:p><\/jats:sec>","DOI":"10.1111\/1742-6723.12340","type":"journal-article","created":{"date-parts":[[2015,1,16]],"date-time":"2015-01-16T07:21:22Z","timestamp":1421392882000},"page":"22-28","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":12,"title":["Measuring the effectiveness of a revised clinical practice guideline for the pre\u2010hospital management of supraventricular tachycardia"],"prefix":"10.1111","volume":"27","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":[[2015,1,16]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.0000059743.36226.E8"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.resuscitation.2010.08.027"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM199501193320307"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.hlc.2007.02.107"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0735-6757(99)90071-2"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.1962.03050440040012"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/0002-8703(64)90382-5"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.CCM.0000048627.39686.79"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1097\/00007611-197203000-00006"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.5144\/0256-4947.51775"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1152\/advan.00057.2007"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0196-0644(95)70039-0"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0196-0644(95)70179-6"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0196-0644(05)82650-2"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.1080\/10903120190939508"},{"key":"e_1_2_7_17_1","unstructured":"Ambulance Victoria.CPG A0403: supraventricular tachycardias. 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