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Episode 88.0 – Simplified Approach to Tachydysrhythmias
Episode 88.0 – Simplified Approach to Tachydysrhythmias
ratings:
Length:
20 minutes
Released:
Mar 13, 2017
Format:
Podcast episode
Description
This week, we review a simplified approach to determining the rhythm on an EKG with a tachydysrhythmia.
https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_88_0_Final_Cut.m4a
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Tags: Atrial Fibrillation, AVNRT, SVT, Tachycardias, Tachydysrhythias, Ventricular Tachycardia
Show Notes
Take Home Points
When looking at a tachy rhythm that isn’t sinus tach, quickly differentiate by determining if the QRS complexes is narrow or wide and then determine if the rhythm is regular or irregular. This approach quickly drops the rhythm into 1 of 4 boxes and makes rhythm determination much easier
Each of those 4 categories has a small set of rhythms included. Narrow and irregular - AF, Aflutter with variable block or MFAT. Narrow and regular - SVT or Aflutter. Wide and irregular - Torsades, VF, AF with aberrancy or a BBB. Wide and regular - VTach, SVT with aberrancy or SVT with a BBB.
If you see wide and regular, the top 3 diagnoses are VT, VT and VT. Assuming VT and treating for that will almost never send you astray
Read More
EM: RAP: Episode 84 - Tachycardia
Core EM: A Simplified Approach to Tachydysrhythmias
Released:
Mar 13, 2017
Format:
Podcast episode
Titles in the series (100)
Episode 1.0 – Electrical and Lightning Injuries: This podcast highlights pearls and take home points from Chris McStay's grand rounds talk on Electrical and Lightning Injuries from our Wilderness Medicine Grand Rounds on May 6th, 2015. Read More by Core EM - Emergency Medicine Podcast