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at www.gitfreed.a.i. Hey guys, what's going on? This is Mike Estefan from the University of

Rochester School of Medicine, bringing you episode six in the Emergency Medicine shelf exam review series.

This week's episode is going to focus on the management of the arrhythmias that you are likely to

see on your shelf exam. In addition to knowing how to manage these arrhythmias, you are also going to

need to be able to identify them on EKG.

So if you don't know how to recognize any of these arrhythmias on EKG,

I would recommend looking them up online.

There are tons of resources out there that do a way better job at teaching how to identify these arrhythmias on EKG than I ever could on a podcast. Let's start out by talking

about the management of some of the arrhythmias that you may see on your exam. Before we dive into

the specific arrhythmias, I just want to quickly touch on what defines a stable or an unstable

patient in this context. Now, in the clinical setting, deciding whether a patient

is stable or unstable is a little more difficult because these patients exist on a spectrum. It is

not black and white. There are significant amounts of gray when making this decision. However,

for your exam, this is a black and white decision. The patient is either stable or unstable.

Factors that would make you decide that the patient is unstable includes hypotension, pulmonary edema, chest pain, or altered mental status.

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