STAT ECG Diagnoses: regular wide complex tachycardia (RWCT) after succinylcholine?
ECG Weekly Workout with Dr. Amal Mattu
HPI
A middle-age man presents to the ED with acute hypoxemic respiratory failure from multilobar pneumonia. He is intubated using etomidate and succinylcholine and noted to have a change in rhythm shortly after intubation. The following ECG is obtained:
Before watching this week’s video, ask yourself these questions:
- What is the most likely cause of the change in rhythm?
- What is the next best step in management of this patient?
- How frequently do ED patients have cardiac arrest post-intubation?
