Background

 

Seeing the rhythm below on a monitor can be a bit of a brown trousers moment in a busy ED. Where is this patient? Who is seeing them? Are they conscious? Is this VT or something weird? - And, more importantly, how am I going to treat them?

 

Image from Ventricular Tachycardia - Monomorphic VT, Life in the Fast Lane ECG library, available at https://litfl.com/ventricular-tachycardia-monomorphic-ecg-library/

 

The paper

 

Littman L, Olson E, Gibbs M. Initial evaluation and management of wide-complex tachycardia: a simplified and practical approach. Am J Emerg Med. 2019;37(7):1340-1345​[1]​

 

 

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