{"version":1,"type":"rich","provider_name":"Libsyn","provider_url":"https:\/\/www.libsyn.com","height":90,"width":600,"title":"Ep. 155 Deep Dive: Adenosine Dosing in SVT - Is 12 the New 6?","description":" &amp;nbsp; Welcome to the Prehospital Emergency Care Journal Podcast! In this PEC Podcast Deep Dive, Rebecca Cash and Maia Dorsett interview Dr. Tony Fernandez about  his recent PEC paper comparing initial prehospital adenosine doses of 6 mg versus 12 mg for presumed SVT. We explore the study\u2019s origins, dataset design, and results\u2014including the finding that starting with 12 mg was associated with higher rates of cardioversion and fewer redoses without an increase in complications. Along the way, we discuss the quirks of EMS data, why some \u201cstandard\u201d practices exist without strong evidence, and how retrospective studies fit into the bigger picture of protocol change. For those whose interest in study methods was piqued, here\u2019s a great short primer on odds ratios versus relative risk:&amp;nbsp;https:\/\/www.youtube.com\/watch?v=dWtzaKYFg00&amp;amp;amp;t=175s Featured Article Fernandez, A. R., Bourn, S. S., Duncan, D., Slovis, C. M., Crowe, R. P., Treichel, A., &amp;amp; Myers, J. B. (2025). Comparing Prehospital Adenosine Initial Dosing of 6\u2009mg Versus 12\u2009mg for Presumed Paroxysmal Supraventricular Tachycardia (PSVT). Prehospital Emergency Care, 1\u20136. https:\/\/doi.org\/10.1080\/10903127.2025.2504521 \ud83d\udd17 Read the article:  https:\/\/www.tandfonline.com\/doi\/abs\/10.1080\/10903127.2025.2504521 &amp;nbsp; As always THANK YOU for listening. Hawnwan&amp;nbsp;Philip Moy MD (@pecpodcast) Scott Goldberg MD, MPH (@EMS_Boston) Jeremiah Escajeda MD, MPH (@jerescajeda) Joelle Donofrio-Odmann DO (@PEMems) Maia Dorsett MD PhD (@maiadorsett) Lekshmi Kumar MD, MPH(@Gradymed1) Greg Muller DO (@DrMuller_DO) Ariana Weber MD (@aweberMD4) Rebecca Cash PhD (@CashRebeccaE) Michael Kim MD (@michaeljukim) Rachel Stemerman PhD (@steminformatics) Nikolai Arendovich MD ","author_name":"Prehospital Emergency Care Podcast - the NAEMSP Podcast","author_url":"http:\/\/pecpodcast.libsyn.com\/webpage","html":"<iframe title=\"Libsyn Player\" style=\"border: none\" src=\"\/\/html5-player.libsyn.com\/embed\/episode\/id\/38146965\/height\/90\/theme\/custom\/thumbnail\/yes\/direction\/forward\/render-playlist\/no\/custom-color\/1bccf1\/\" height=\"90\" width=\"600\" scrolling=\"no\"  allowfullscreen webkitallowfullscreen mozallowfullscreen oallowfullscreen msallowfullscreen><\/iframe>","thumbnail_url":"https:\/\/assets.libsyn.com\/secure\/content\/192830870"}