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Six indications that would lead you to suspect SVT in children:
- history incompatible (no history fever, volume loss, hemorrhage or pain
- P waves absent /abnormal
- HR does not vary with activity
- Abrubt rate changes
- Infants : rate usually >220
- Children : rate usually >180
Remember in the stable child treat withe Adenosine 0.1mg/kg rapid IV push followed by rapid flush.
In the unstable child treat with synchronized cardioversion 0.5 -1 Joules/kg.