Dr. Peter Antevy shows how to treat stable SVT by applying an ice-filled water bag to a patient's face for 10-15 seconds to trigger the diving reflex and slow the heart rate. Fill a 1-liter Ziploc bag with ice and water, warn the patient, cover their face and mouth, and hold it until the rhythm converts.
Hi, I'm Dr. Peter Anteve. Welcome to another edition of the Hand Tevi Minute. I want to talk about svt, the stable SVT patient. And how do we apply ice into.
The face to elicit the diving reflex? So let's talk about that.
The first thing you need to do.
Is just grab a simple 1 liter.
Ziplock bag and fill it with ice.
Okay? Now we have to add water to that bag.
The whole purpose is to make the bag sl flushy so that it conforms to the face. So once we've added water.
Now you have a bag that's very cold and that can conform to the face. Now, before you do this to someone, you must apologize to the child, apologize to the parent, because this is not a fun thing. It's very cold. It's going to be covering the entire face and mouth. And essentially you want to do this for as long as possible. So you would take this bag and you would rest it over the child's face for 10, 15 seconds, maybe longer.
If they can accommodate it.
And then you'll see the heart rate go down. This is really the only way to do it besides actually dunking someone's head into water. And you probably remember this scene from ER from years ago.
Carter. Carter.
Gina, get ready to start cpr. I need an intubation trach. Carter.
Lily, as soon as you get power, we need to move him against the wall. Get over here. Carter. John, I need you to bag him. Almost ready.
Hold that.
Come. Normal sinus rhythm. What the hell are you people doing to me? Give me a towel. You passed out from an abnormal heart rhythm. We had to treat you right away.
Alright, I hope you liked that video. Just remember, stable svt. Put ice in a bag, add water, make sure you apologize profusely. Cover the entire face for about 10, 15, even 20 seconds if you can. And then you'll see the heart rate go down. Good luck. I'll see you at EMS Expo in New Orleans.
