Adenosine as part of prehospital care in tachycardia

Bernd W. Böttiger

Is it safe to use adenosine in prehospital care for the treatment of regular supraventricular or ventricular tachycardia?

Bernd W. Böttiger: It depends on the whole setting again. I would not recommend the use of adenosine in systems where you do not have a doctor in the out-of-hospital setting. However, if there is a doctor in the out-of-hospital setting – and this must be an experienced physician – who has also some experience with this kind of medication, in that case he or she can try it. But if you have paramedics who are really not experienced and just going after their standard operating procedures, I would not necessarily recommend this and I would try to stabilize the blood pressure and go as fast as possible to the next hospital.

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