Wide Complex Tachycardia

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 (https://www.ebmedicine.net/topics/cardiovascular/emergency-medicine-wide-complex-tachycardia) . • 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 (https://www.ebmedicine.net/cme/cardiovascular/emergency-medicine-wide-complex-tachycardia) . Emergency Medicine Residents, get your free subscription by writing [email protected]