is there any consideration(s) to move away from the ” double syringe method” to a single syringe method for adenosine ?? – using 20 ml or larger syringe meaning adenosine mixed with ns and then pushed as 1 dose – medication and flush ?? various studies have shown that is effective, less operational stressors , and easier to manage then attempting use a stop cock valve, ns line wide open with flushes, etc

What is considered suspected cardiac ischemia? Is it just the presence of chest pain/ discomfort (heaviness or tightness). Are chest palpitations considered a chest discomfort as well?

I know our standards as an ACP for over 18 years but if SVT encounter in a pediatric patient and long transport. If we patched got approval would this be appropriate based off the attached studies and success rate in comparison to the REVERT maneuver?