M&M - Dr. Keller

 Wide Complex Tachycardia... and Overthinking
If it is a Wide Complex Tachycardia... DON'T OVERTHINK IT!! Treat it as VTACH!
  
  > Wide complex tachycardia 
       - vtach 80% of the time; but also consider SVT with aberrancy or preexcitation, toxic metabolic                          (hypomag, hyperk, TCAs IC antiarrythmics) or pacemaker related

    > Regular wide complex tachycardia

         - Unstable - synchronized cardioversion
              > Cardioversion may be resistant if tox/metabolic
              > Consider bicarb if resistant

     > If recurrent start amio, procainimaide or lidocaine
         - If stable - procainamide; amio/lido

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