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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