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

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Contributor: Don Stader, MD Educational Pearls: There are two major groups of local anesthetics: Amide and Esther To recall what group an anesthetic belongs to, use this memory trick: Amide has...

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Podcast 814: Post-concussion Treatment

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Contributor: Aaron Lessen, MD Educational Pearls: Recent study looked at the impact of screen time on duration of post-concussive symptoms 125 patients aged 12-25 diagnosed with a concussion were ran...

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Podcast 813: Pulse Oximetry

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Contributor: Travis Barlock, MD Educational Pearls: Most oxygen in the body is bound to hemoglobin, forming oxyhemoglobin. Less than 1% of the oxygen in the body is dissolved in plasma.  Pulse Oximet...

13 Sep 20224min

Podcast 812: PO Medications

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Contributor: Nick Tsipis, MD Educational Pearls: PO medications are less frequently used in the ED due to their longer onset of action The position the patient is in when given PO medications ...

12 Sep 20223min

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