Podcast 669: VTach Storm

Podcast 669: VTach Storm

Contributor: Gretchen Hinson, MD

Educational Pearls:

  • Three episodes of ventricular tachycardia within 24 hours or two episodes back-to-back
  • Treat with IV amiodarone and IV beta-blockers initially as well as IV lidocaine
  • Correct underlying causes:
    • IV magnesium for QT prolongation
    • Replete potassium in hypokalemia
    • Urgent revascularization in ischemia
  • For refractory vtach, urgent radiofrequency ablation or stellate ganglion block can be done
  • Last resort is placing on the patient on ECMO

References

Muser D, Santangeli P, Liang JJ. Management of ventricular tachycardia storm in patients with structural heart disease. World J Cardiol. 2017;9(6):521-530. doi:10.4330/wjc.v9.i6.521

Eifling M, Razavi M, Massumi A. The evaluation and management of electrical storm. Tex Heart Inst J. 2011;38(2):111-121.

Summarized by John Spartz, MS3

The Emergency Medical Minute is excited to announce that we are now offering AMA PRA Category 1 credits™ via online course modules. To access these and for more information, visit our website at www.emergencymedicalminute.com/cme-courses/ and create an account.

Donate to EMM today!

Episoder(1146)

Podcast 610: Swimmers Itch

Podcast 610: Swimmers Itch

Contributor: John Winkler, MD Educational Pearls: Swimmers itch is due to a flatworm parasitic infection that causes an itchy rash after the worm burrows into the skin The flatworm is passed between ...

3 Nov 20203min

Podcast 609: Kratom

Podcast 609: Kratom

Contributor: Nick Hatch, MD Educational Pearls: Kratom is derived from the evergreen tree sharing the same name, found in Southeast Asia Kratom is legal is most regions Adverse effects of this substa...

2 Nov 20204min

Podcast 608: Another Elevated Lactate?

Podcast 608: Another Elevated Lactate?

Contributor: Jared Scott, MD Educational Pearls: Lactate is a byproduct of anaerobic metabolism or tissue hypoperfusion Though typically associated with severe sepsis, hyperlactatemia can be caused b...

27 Okt 20205min

Podcast 607: Is Pain the Enemy?

Podcast 607: Is Pain the Enemy?

Contributor: Don Stader, MD Educational Pearls: Pain is ubiquitous in the emergency department but it is not the enemy - suffering is Nociception is the ability to feel noxious stimuli which usually ...

26 Okt 20205min

Pediatric Emergencies Brewcast: Common Respiratory Conditions in Pediatric Patients

Pediatric Emergencies Brewcast: Common Respiratory Conditions in Pediatric Patients

Emergency Medical Minute collaborated with CarePoint Health in early March for a night of education on Pediatric Emergencies geared towards mid-level providers at a local Denver brewery for our latest...

21 Okt 202019min

Podcast 606: The Oxygen Wars

Podcast 606: The Oxygen Wars

Contributor: Aaron Lessen, MD Educational Pearls: The use of oxygen is controversial when treating patients with certain conditions, like MI's, stokes, or ARDS because adverse outcomes have been demo...

20 Okt 20203min

Podcast 605: Acute Limb Ischemia

Podcast 605: Acute Limb Ischemia

Contributor: Peter Bakes, MD Educational Pearls: Classically presents with the 6Ps: Pain, pallor, paresthesia, pulseless, poikilothermia (cold), and paralysis Acute limb ischemia occurs by embolic or...

19 Okt 20205min

On the Streets #9: Advanced Applications of Capnography

On the Streets #9: Advanced Applications of Capnography

Capnography is the measurement of the partial pressure of exhaled CO2 and is an indirect measurement of your cellular respiration. It is displayed visually as a block-like waveform during the exhalati...

14 Okt 20201h 11min

Populært innen Vitenskap

fastlegen
tingenes-tilstand
rekommandert
jss
rss-rekommandert
rss-nysgjerrige-norge
villmarksliv
forskningno
sinnsyn
rss-paradigmepodden
fjellsportpodden
vett-og-vitenskap-med-gaute-einevoll
nordnorsk-historie
smart-forklart
rss-overskuddsliv
diagnose
abid-nadia-skyld-og-skam
abels-tarn
tomprat-med-gunnar-tjomlid
aldring-og-helse-podden