<p>In this episode, Sam Ashoo, MD and Dr. T.R. Eckler, MD discuss the April 2026 Emergency Medicine Practice article, <a href="https://www.ebmedicine.net/topics/cardiovascular/emergency-medicine-wide-complex-tachycardia" style="color:rgb(0,80,165);">Wide Complex Tachycardia in the Emergency Department: An Updated Approach to Diagnosis and Management</a>.</p><p></p><ul><li>Introduction – 0:11</li><li>Article Overview – 2:02</li><li>Top 5 Bedside Steps – 7:54</li><li>Sodium Channel Blockade – 9:26</li><li>Hyperkalemia – 11:53</li><li>SVT with Aberrancy – 12:47</li><li>WPW &amp; Accessory Pathway – 13:34</li><li>AFib with Accessory Pathway – 14:09</li><li>Monomorphic VT – 19:01</li><li>Polymorphic VT / Torsades – 20:08</li><li>Bidirectional VT – 21:29</li><li>Pacemaker-Mediated Tachycardia – 22:30</li><li>Pre-Hospital Considerations – 24:52</li><li>Stable vs. Unstable Assessment – 27:58</li><li>Diagnostic Studies – 29:42</li><li>Treatment – 38:00</li><li>Risk Management Pitfalls – 44:49</li><li>Wrap-Up – 49:44</li></ul><p></p><p>Subscribers, take the CME test <a href="https://www.ebmedicine.net/cme/cardiovascular/emergency-medicine-wide-complex-tachycardia" style="color:rgb(0,80,165);">here</a>.</p><p>Emergency Medicine Residents, get your free subscription by writing [email protected]</p>