Wednesday, September 3, 2014

One Hour Lecture: Supraventricular Tachycardias (including ED management of atrial fibrillation)

This is a lecture on ED diagnosis and management of supraventricular tachycardias:

Sinus Tach
Paroxysmal SVT
Atrial Fibrillation
Atrial Flutter
Multifocal Atrial Tachycardia
Atrial Tachycardia

It is pretty much everything an emergency physician needs to know about this.  It is not a TED talk.  It won't give you new insight into yourself or humanity, but it will help you diagnose and manage patients!

There is a lot of detail that you might not find elsewhere.





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11 comments:

  1. ShivaSeptember 5, 2014 at 4:23 AM

    What do you think of using "Lewis leads" to make atrial flutter easier to identify?

    ReplyDelete
  2. UnknownSeptember 5, 2014 at 5:45 AM

    Interesting post. Thanks for it.

    First Aid USMLE Step 1 2014

    ReplyDelete
  3. Steve SmithSeptember 5, 2014 at 6:16 AM

    I love Lewis leads and had intended to mention them, but forgot. Here are two posts on the topic: http://hqmeded-ecg.blogspot.com/search?q=lewis+lead

    ReplyDelete
  4. Vince DSeptember 9, 2014 at 6:39 PM

    Love it! Regarding your final slide that lightly touched on the ED workup on patients with supraventricular arrhythmias, what are your thoughts or experiences on "fishing" for PE in such patients. At my shop the physicians seem to like to look for PE's as a potential precipitant of SVT's, but I really doubt there's much to find unless there's something in the history already suggestive of the diagnosis. Thanks for the great video!

    ReplyDelete
    Replies
    1. Steve SmithSeptember 11, 2014 at 1:54 PM

      Thanks, Vince. I do not consider it strongly at all in suggesting PE. Only if other symptoms, especially after conversion if there are persistent signs and symptoms for a long time (there are always residual s/sx's after conversion for a short time.
      Steve

      Delete
  5. Jamshid KhanSeptember 21, 2014 at 11:52 AM

    Looking forward to seeing more such videos. I wish you do more such videos. Reallly really helpful. Thank you very much dr.Smith for enlightening us.

    ReplyDelete
  6. UnknownSeptember 9, 2015 at 11:48 AM

    What do you mean by beat-to-beat variability min 06:27? Is it same electrical elternans?

    ReplyDelete
    Replies
    1. Steve SmithSeptember 15, 2015 at 2:42 PM

      Just that sinus is not perfectly regular as re-entrant rhythms are.

      Delete
  7. shabirMay 31, 2016 at 10:30 PM

    there is saying if a person saves one human life GOD will give him reward for as if he has saved whole humanity
    sir u r source of knowledge go on dispersing this goodness in u so that whole humanity will be helped

    ReplyDelete
  8. DharmageeJanuary 17, 2018 at 11:12 AM

    excellent work sir.thanks.

    ReplyDelete

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