About this episode
This episode discusses the updated approach to diagnosing and managing wide complex tachycardia in the emergency department.
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 Subscribers, take the CME test here . Emergency Medicine Residents, get your free subscription by writing resident@ebmedicine.net
People in this episode
Guests: Sam Ashoo, MD, Dr. T.R. Eckler, MD
Topics covered
- Wide Complex Tachycardia
- Emergency Medicine
- Diagnosis
- Management
- Cardiac Arrhythmias
Keywords
- Wide Complex Tachycardia
- Emergency Medicine
- Diagnosis
- Management
- Cardiac Arrhythmias
- Sodium Channel Blockade
- Hyperkalemia
- SVT
- AFib
- VT
Mentioned in this episode
Books & works: Wide Complex Tachycardia in the Emergency Department: An Updated Approach to Diagnosis and Management
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