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Emergency Medicine Cases

Ep 112 Tachydysrhythmias with Amal Mattu and Paul Dorian

Emergency Medicine Cases

Dr. Anton Helman

Education, Health & Fitness, Courses, Medicine, Science

4.7602 Ratings

🗓️ 17 July 2018

⏱️ 89 minutes

🧾️ Download transcript

Summary

In this EM Cases main Episode 112 Tachydysrhythmias with Amal Mattu and Paul Dorion we discuss a potpurri of clinical goodies for the recognition and management of both wide and narrow complex tachydysrhythmias and answer questions such as: Which patients with stable Ventricular Tachycardia (VT) require immediate electrical cardioversion, chemical cardioversion or no cardioversion at all? Are there any algorithms that can reliably distinguish VT from SVT with aberrancy? What is the "verapamil death test"?  While procainamide may be the first line medication for stable VT based on the PROCAMIO study, what are the indications for IV amiodarone for VT? How should we best manage patients with VT who have an ICD? How can the Bix Rule help distinguish Atrial Flutter from SVT? What is the preferred medication for conversion of SVT to sinus rhythm, Adenosine or Calcium Channel Blockers (CCBs)? Why is amiodarone contraindicated in patients with WPW associated with atrial fibrillation? What are the important differences in the approach and treatment of atrial fibrillation vs. atrial flutter? How can we safely curb the high bounce-back rate of patients with atrial fibrillation who present to the ED? and many more...

Transcript

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0:00.0

Welcome to the Emergency Medicine Cases podcast with your host, Dr. Anton Hellman, bringing you Canada's brightest minds in emergency medicine from EMC studios in Toronto.

0:13.5

Hi, everyone. Before we get into tacky dysrhythmias with Amalmatu and Paul Dorian, I've got some exciting news.

0:20.1

If you listen to the June main episode podcast on EM cases, on effective learning strategies

0:26.0

for EM, you'll know that the best way to retain knowledge after you've listened to a podcast

0:30.5

or read the show notes or watch a rapid review video is to actively test yourself.

0:37.3

Yeah, space multimodal repetition. That's, you know,

0:40.4

listening to a podcast and later on reading the show notes and then reviewing the Just for Nuggets

0:44.7

emails, that kind of thing. That increases your chances of the knowledge sticking, but the

0:49.1

ultimate in learning EM really is testing yourself. Enter the EMCases quiz vault.

0:57.0

So in just a few short months, we'll have dozens of handcrafted quizzes all based on the

1:02.3

main episode podcast and show notes available on the EM cases website for free for you to

1:08.2

hone your EM knowledge, ace your exams, and fulfill any CME requirements

1:12.4

you might have. So this is how it works. You'll be able to choose quizzes by either episode or

1:18.2

specialty, like pediatrics, trauma, cardiology, airway, whatever honks your horn. And you'll get

1:24.3

real-time feedback on how you're doing in that particular subject

1:27.5

and maybe even a summary of your scores on the quizzes compared to other people taking the quizzes.

1:32.8

Now the quiz vault will be dead simple to use on your laptop, tablet, or on your phone.

1:38.1

I've had many residents tell me they listen to pretty much all the EM cases podcasts to prepare for their exams,

1:43.9

but now you can ensure that you'll remember all the EM cases podcasts to prepare for their exams, but now you can

1:44.9

ensure that you'll remember all the key points with the quiz vault. There are other EM quiz

1:50.7

banks out there, but they cost big bucks. This costs a total of zero. So in the spirit of

1:56.8

FOMED, it's totally free. And for those of you who practice emergency medicine in Ontario,

...

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