ECG Guru - Instructor Resources - Sinus tach https://www.ecgguru.com/ecg/sinus-tach en Sinus Tachycardia in a Child https://www.ecgguru.com/ecg/sinus-tachycardia-child <div class="field field-name-field-ecg field-type-image field-label-hidden"><div class="field-items"><div class="field-item even"><a href="/ecg/sinus-tachycardia-child"><img typeof="foaf:Image" src="https://www.ecgguru.com/sites/default/files/N104.jpg" width="1800" height="1415" alt="" /></a></div></div></div><div class="field field-name-field-ecg-interpretation field-type-text-long field-label-hidden"><div class="field-items"><div class="field-item even"><p>A six-year-old girl was found with her two younger siblings and her mother, unconscious, in a room filled with carbon monoxide. &nbsp;The mother had been using a charcoal grill inside the house. &nbsp;She managed to call 911 before losing consciousness, and the fire rescue paramedics broke into their house, saving them. &nbsp;This six-year-old required treatment in the pediatric intensive care unit, but recovered completely. &nbsp;The lesson for our students is to judge rate in the setting in which it is found. &nbsp;The heart rate here is 136/min. &nbsp;Normal for a child of six is usually between 80 and 100 at rest. &nbsp;This child is severely hypoxic, and she has sinus tachycardia. &nbsp;It would be a mistake to assume her rate is normal because "all children have fast heart rates". &nbsp;Also, children with sinus tachycardia can be so fast, they appear to have PSVT. &nbsp;The onset and offset can be excellent clues to the origin of the rhythm. &nbsp;Sinus rhythms can be expected to speed up and slow down gradually, unlike PSVTs, which have sudden onset and offset. &nbsp;The most important consideration is that sinus tachycardia usually has an APPARENT CAUSE: &nbsp;exercise, anxiety, hypoxia, hypovolemia, fear ,,,, the list is a long one. &nbsp;Once it is determined that the patient has sinus tachycardia, efforts usually focus on the elimation of the cause.</p><p>&nbsp;</p><p>We welcome any comments on this ECG, perhaps taking the discussion to a more advanced level.</p></div></div></div><div class="field field-name-field-rate-this-content field-type-fivestar field-label-above"><div class="field-label">Rate this content:&nbsp;</div><div class="field-items"><div class="field-item even"><form class="fivestar-widget" action="/taxonomy/term/330/feed" method="post" id="fivestar-custom-widget" accept-charset="UTF-8"><div><div class="clearfix fivestar-average-text fivestar-average-stars fivestar-form-item fivestar-hearts"><div class="form-item form-type-fivestar form-item-vote"> <div class="form-item form-type-select form-item-vote"> <select id="edit-vote--2" name="vote" class="form-select"><option value="-">Select rating</option><option value="20">Give Sinus Tachycardia in a Child 1/5</option><option value="40">Give Sinus Tachycardia in a Child 2/5</option><option value="60">Give Sinus Tachycardia in a Child 3/5</option><option value="80">Give Sinus Tachycardia in a Child 4/5</option><option value="100" selected="selected">Give Sinus Tachycardia in a Child 5/5</option></select> <div class="description"><div class="fivestar-summary fivestar-summary-average-count"><span class="average-rating">Average: <span >4.5</span></span> <span class="total-votes">(<span >4</span> votes)</span></div></div> </div> </div> </div><input class="fivestar-submit form-submit" type="submit" id="edit-fivestar-submit" name="op" value="Rate" /><input type="hidden" name="form_build_id" value="form-sUxXKdWqU2Wp8H9JOioPbh1vc8FMeTf7F_Os_ovEba4" /> <input type="hidden" name="form_id" value="fivestar_custom_widget" /> </div></form></div></div></div><div class="field field-name-field-taxonomy field-type-taxonomy-term-reference field-label-above"><div class="field-label">Related Terms:&nbsp;</div><div class="field-items"><div class="field-item even"><a href="/ecg/sinus-tachycardia" typeof="skos:Concept" property="rdfs:label skos:prefLabel" datatype="">Sinus tachycardia</a></div><div class="field-item odd"><a href="/ecg/sinus-tach" typeof="skos:Concept" property="rdfs:label skos:prefLabel" datatype="">Sinus tach</a></div><div class="field-item even"><a href="/ecg/pediatric-ecg" typeof="skos:Concept" property="rdfs:label skos:prefLabel" datatype="">Pediatric ECG</a></div></div></div><ul class="links inline"><li class="addtoany first last"><span><span class="a2a_kit a2a_target addtoany_list" id="da2a_1"> <a class="a2a_dd addtoany_share_save" href="https://www.addtoany.com/share#url=https%3A%2F%2Fwww.ecgguru.com%2Fecg%2Fsinus-tachycardia-child&amp;title=Sinus%20Tachycardia%20in%20a%20Child"><img src="/sites/all/modules/addtoany/images/share_save_256_24.png" width="256" height="24" alt="Share"/></a> </span> <script type="text/javascript"> <!--//--><![CDATA[//><!-- if(window.da2a)da2a.script_load(); //--><!]]> </script></span></li> </ul> Thu, 18 Jul 2013 05:02:59 +0000 Dawn 471 at https://www.ecgguru.com https://www.ecgguru.com/ecg/sinus-tachycardia-child#comments ECG BASICS: Sinus Tachycardia in a Toddler https://www.ecgguru.com/ecg/ecg-basics-sinus-tachycardia-toddler <div class="field field-name-field-ecg field-type-image field-label-hidden"><div class="field-items"><div class="field-item even"><a href="/ecg/ecg-basics-sinus-tachycardia-toddler"><img typeof="foaf:Image" src="https://www.ecgguru.com/sites/default/files/101%20Sinus%20tach%20child%20in%20PACU.jpg" width="1308" height="344" alt="" /></a></div></div></div><div class="field field-name-field-ecg-interpretation field-type-text-long field-label-hidden"><div class="field-items"><div class="field-item even"><p>Here is a nice example of sinus tachycardia taken from a 2-year-old in the post-anesthesia care unit after a short GI endoscopic procedure.&nbsp; Would you call this NSR, since it is from a child?&nbsp; The pre-op heart rate in this child was 120/min.</p><p>For your more advanced students, remind them that, in adults especially, a heart rate close to 150/min. should cause them to examine the ECG in several leads, looking for the presence of atrial flutter with 2:1 conduction.&nbsp; Another important teaching point, most ADULTS with sinus tach at 150/min. would&nbsp;&nbsp;manifest an obvious reason for the rapid heart rate (dehydration, pain, anxiety, shock, etc.)&nbsp; Challenge your basic students to come up with as many causes for sinus tach as they can.</p></div></div></div><div class="field field-name-field-rate-this-content field-type-fivestar field-label-above"><div class="field-label">Rate this content:&nbsp;</div><div class="field-items"><div class="field-item even"><form class="fivestar-widget" action="/taxonomy/term/330/feed" method="post" id="fivestar-custom-widget--2" accept-charset="UTF-8"><div><div class="clearfix fivestar-average-text fivestar-average-stars fivestar-form-item fivestar-hearts"><div class="form-item form-type-fivestar form-item-vote"> <div class="form-item form-type-select form-item-vote"> <select id="edit-vote--4" name="vote" class="form-select"><option value="-">Select rating</option><option value="20">Give ECG BASICS: Sinus Tachycardia in a Toddler 1/5</option><option value="40" selected="selected">Give ECG BASICS: Sinus Tachycardia in a Toddler 2/5</option><option value="60">Give ECG BASICS: Sinus Tachycardia in a Toddler 3/5</option><option value="80">Give ECG BASICS: Sinus Tachycardia in a Toddler 4/5</option><option value="100">Give ECG BASICS: Sinus Tachycardia in a Toddler 5/5</option></select> <div class="description"><div class="fivestar-summary fivestar-summary-average-count"><span class="average-rating">Average: <span >1.5</span></span> <span class="total-votes">(<span >2</span> votes)</span></div></div> </div> </div> </div><input class="fivestar-submit form-submit" type="submit" id="edit-fivestar-submit--2" name="op" value="Rate" /><input type="hidden" name="form_build_id" value="form-TrGX_caCukeGSJGzh6sEknofUID4JxliFEc2r_uJFiE" /> <input type="hidden" name="form_id" value="fivestar_custom_widget" /> </div></form></div></div></div><div class="field field-name-field-taxonomy field-type-taxonomy-term-reference field-label-above"><div class="field-label">Related Terms:&nbsp;</div><div class="field-items"><div class="field-item even"><a href="/ecg/sinus-rhythm" typeof="skos:Concept" property="rdfs:label skos:prefLabel" datatype="">Sinus rhythm</a></div><div class="field-item odd"><a href="/ecg/rhythm-strip" typeof="skos:Concept" property="rdfs:label skos:prefLabel" datatype="">Rhythm strip</a></div><div class="field-item even"><a href="/ecg/basic-ecg" typeof="skos:Concept" property="rdfs:label skos:prefLabel" datatype="">Basic ECG</a></div><div class="field-item odd"><a href="/ecg/sinus-tachycardia" typeof="skos:Concept" property="rdfs:label skos:prefLabel" datatype="">Sinus tachycardia</a></div><div class="field-item even"><a href="/ecg/pediatric-ecg" typeof="skos:Concept" property="rdfs:label skos:prefLabel" datatype="">Pediatric ECG</a></div><div class="field-item odd"><a href="/ecg/sinus-tach" typeof="skos:Concept" property="rdfs:label skos:prefLabel" datatype="">Sinus tach</a></div><div class="field-item even"><a href="/ecg/ecg-basics" typeof="skos:Concept" property="rdfs:label skos:prefLabel" datatype="">ECG Basics</a></div></div></div><ul class="links inline"><li class="addtoany first last"><span><span class="a2a_kit a2a_target addtoany_list" id="da2a_2"> <a class="a2a_dd addtoany_share_save" href="https://www.addtoany.com/share#url=https%3A%2F%2Fwww.ecgguru.com%2Fecg%2Fecg-basics-sinus-tachycardia-toddler&amp;title=ECG%20BASICS%3A%20%20Sinus%20Tachycardia%20in%20a%20Toddler"><img src="/sites/all/modules/addtoany/images/share_save_256_24.png" width="256" height="24" alt="Share"/></a> </span> </span></li> </ul> Wed, 01 May 2013 23:24:56 +0000 Dawn 439 at https://www.ecgguru.com https://www.ecgguru.com/ecg/ecg-basics-sinus-tachycardia-toddler#comments