Chris and Kevin's Bedside Chats

Hey everyone,

We’re back at it again with a new episode! With the help of special guest Kyle Sears, Kevin and I tackle our most requested topic yet, Wide Complex Tachycardia! Below for your reference are the Brugada and Vereckei criteria that we reference during the episode. Happy listening!

Brugada Criteria

* Is there absence of an R2 complex in all precordial leads (Precordial Concordance)?

* If yes it’s VT

* If no, is the R to S interval >100ms in one precordial lead?

* If yes it’s VT

* If no, is there AV dissociation?

* If yes it’s VT

* Morphology criteria for VT in precordial leads V1-V2 and V6

* RBBB pattern (upright in V1) or…

* LBBB pattern (downward in V1)

* If yes to above it’s VT

* If no to all of the above, likely SVT w/ aberrancy

Vereckei Algorithm

This algorithm looks at lead aVR

* Presence of initial R wave?

* If yes, it’s VT

* Presence of initial R or Q wave >40ms

* If yes it’s VT

* Notch on the descending limb of a negative onset and predominantly negative QRS?

* If yes it’s VT

* Initial to terminal ventricular activation velocity ratio <1

* Basically, VT causes slow ventricular activation then SVT w/ aberrancy, resulting in a more significantly wide QRS

* If this is present it’s VT

* If none of the above are present, likely SVT w/ aberrancy

New year, new Chris and Kevin’s Bedside Chats. Start 2019 off right with the lowdown on Hypoxemic Respiratory Failure in this ambitious and densely packed episode.

Hey Everyone,

Next up we have our 4th episode on Transfusion Reactions. We are aiming to provide guidance on how to work-up and manage the dramatic (and sometimes life-threatening) complications of blood products.

Below is a the survey link. The post-survey will open when the pre-survey is completed.

https://redcap.iths.org/surveys/?s=EKRME3WNXJ

Sup listeners,

Kevin and I are back with our 3rd episode, Toxidromes and Overdoses (Pt. 1 of 2). This episode we will tackle a general approach to toxidromes, as well as how to manage aspirin and acetaminophen overdoses specifically.

Below is a link to the pre/post surveys. The post-survey will open when the pre-survey is completed.

https://redcap.iths.org/surveys/?s=4LK9MDW38J

Here is Episode 2 on SVT! Below you will find the link to the surveys.

Survey Link: https://redcap.iths.org/surveys/?s=RHMDH3KFJM

 

Hey Everyone,

Welcome to the first episode of Chris and Kevin’s Bedside Chats. Our first episode is on Acute GI Bleed. Please fill out the pre-survey before listening to the episode, and the post survey after. Links to the survey can be found below (the post-survey appears after the pre-survey is completed)

Survey Link: https://redcap.iths.org/surveys/?s=FCATEDDN4T

The song “Believer” by Silent Panther is used as our intro music.

The opinions expressed in this podcast are our own and do not necessarily reflect the opinions of the University of Washington Internal Medicine Residency Program.

(this episode has been updated to correct a problem with the volume)