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.Introduction – 0:11Article Overview – 2:02Top 5 Bedside Steps – 7:54Sodium Channel Blockade – 9:26Hyperkalemia – 11:53SVT with Aberrancy – 12:47WPW & Accessory Pathway – 13:34AFib with Accessory Pathway – 14:09Monomorphic VT – 19:01Polymorphic VT / Torsades – 20:08Bidirectional VT – 21:29Pacemaker-Mediated Tachycardia – 22:30Pre-Hospital Considerations – 24:52Stable vs. Unstable Assessment – 27:58Diagnostic Studies – 29:42Treatment – 38:00Risk Management Pitfalls – 44:49Wrap-Up – 49:44Subscribers, take the CME test here.Emergency Medicine Residents, get your free subscription by writing [email protected]