In this episode, Sam Ashoo, MD and Dr. T.R. Eckler, MD discuss the April 2026 Emergency Medicine Practice article, Wide Complex Tachycardia in the Emergency Department: An Updated Approach to Diagnosis and Management.
- Introduction – 0:11
- Article Overview – 2:02
- Top 5 Bedside Steps – 7:54
- Sodium Channel Blockade – 9:26
- Hyperkalemia – 11:53
- SVT with Aberrancy – 12:47
- WPW & Accessory Pathway – 13:34
- AFib with Accessory Pathway – 14:09
- Monomorphic VT – 19:01
- Polymorphic VT / Torsades – 20:08
- Bidirectional VT – 21:29
- Pacemaker-Mediated Tachycardia – 22:30
- Pre-Hospital Considerations – 24:52
- Stable vs. Unstable Assessment – 27:58
- Diagnostic Studies – 29:42
- Treatment – 38:00
- Risk Management Pitfalls – 44:49
- Wrap-Up – 49:44
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