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M&M - Dr. Keller

2/21/2014

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Picture
 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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​
  • RESIDENCY
    • About CMC
    • Curriculum
    • Benefits
    • Explore Charlotte
    • Official Site
  • FELLOWSHIP
    • Global EM
    • Toxicology
    • (All Others)
  • PEOPLE
    • Program Leadership
    • PGY-3
    • PGY-2
    • PGY-1
    • MATCH 2022
    • Alumni
  • STUDENTS/APPLICANTS
    • Prospective Visiting Students
    • Healthcare Disparities Externship
    • UNC/Wake Forest Students
  • #FOAMed
    • EM GuideWire
    • CMC Imaging Mastery
    • Pediatric EM Morsels
    • Blogs, etc. >
      • CMC ECG Masters
      • Core Concepts
      • Cardiology Blog
      • Dr. Patel's Coding Blog
      • Global Health Blog
      • Ortho Blog
      • Pediatric Emergency Medicine
      • Tox Blog
  • Chiefs Corner
    • Top 20
    • Current Chiefs
    • Schedules >
      • Conference/Flashpoint
      • Block Schedule
      • ED Shift Schedule
      • AEC Moonlighting
      • Journal Club/OBP/Audits Schedule
      • Simulation
    • Resources >
      • Fox Reference Library
      • FlashPoint
      • Airway Lecture
      • Student Resources
      • PGY - 1
      • PGY - 2
      • PGY - 3
      • Simulation Reading
      • Resident Wellness
      • Resident Research
      • Resume Builder
    • Individualized Interactive Instruction
    • Evaluations/Interview Season