Take a deeper dive into our peer-reviewed emergency medicine content with the EMplify podcast. Join hosts Sam Ashoo, MD and T.R. Eckler, MD for educational, conversational reviews of current evidence guaranteed to help you make your best clinical decisions. Each high-yield episode gives you practical, time-tested guidance from practicing emergency medicine clinicians and subject-matter experts. Listen and learn!
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 – 0:11
- Article Overview – 2:02
- Top 5 Bedside Steps – 7:54
- Sodium Channel Blockade – 9:26
- Hyperkalemia – 11:53
- SVT with Aberrancy – 12:47
- WPW & Accessory Pathway – 13:34
- AFib with Accessory Pathway – 14:09
- Monomorphic VT – 19:01
- Polymorphic VT / Torsades – 20:08
- Bidirectional VT – 21:29
- Pacemaker-Mediated Tachycardia – 22:30
- Pre-Hospital Considerations – 24:52
- Stable vs. Unstable Assessment – 27:58
- Diagnostic Studies – 29:42
- Treatment – 38:00
- Risk Management Pitfalls – 44:49
- Wrap-Up – 49:44
Subscribers, take the CME test here.
Emergency Medicine Residents, get your free subscription by writing resident@ebmedicine.net
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 – 0:11
- Article Overview – 2:02
- Top 5 Bedside Steps – 7:54
- Sodium Channel Blockade – 9:26
- Hyperkalemia – 11:53
- SVT with Aberrancy – 12:47
- WPW & Accessory Pathway – 13:34
- AFib with Accessory Pathway – 14:09
- Monomorphic VT – 19:01
- Polymorphic VT / Torsades – 20:08
- Bidirectional VT – 21:29
- Pacemaker-Mediated Tachycardia – 22:30
- Pre-Hospital Considerations – 24:52
- Stable vs. Unstable Assessment – 27:58
- Diagnostic Studies – 29:42
- Treatment – 38:00
- Risk Management Pitfalls – 44:49
- Wrap-Up – 49:44
Subscribers, take the CME test here.
Emergency Medicine Residents, get your free subscription by writing resident@ebmedicine.net
Sam Ashoo, MD, FACEP, is board certified in emergency medicine and clinical informatics. He serves as EB Medicine’s editor-in-chief of interactive clinical pathways and FOAMEd blog, and host of EB Medicine’s EMplify podcast. Follow him below for more…
