STAT ECG Diagnoses: a review of the differentials to consider when dealing with wide complex tachycardias and when antiarrhythmic medications can be harmful

HPI

A 41-year-old female is brought into the ED by EMS unresponsive with unknown past medical history. She is found to be febrile, normotensive (126/78), tachycardic (120s-150s), tachypneic (30s with a Kussmaul respiratory pattern), SpO2 = 98% on room air, and POC glucose = “high”. The following ECG is obtained that shows a wide complex tachycardia:

Presenting ECG — STAT ECG Diagnoses: a review of the differentials to consider when dealing with wide complex tachycardias and when antiarrhythmic medications can be harmful

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