PALS Protocol:

Supraventricular Tachycardia (unstable)

1.  IV access
2.  Sedation/Oxygen
3.  Synchronous shock, 0.5-1 J/kg
4.  Adenosine 100-250 mcg/kg IV fast (repetitive dose)
5.  Synchronous shock, 2J/kg
6.  Synchronous shock, 4J/kg (repeat)
 
Emergency Pediatrics
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