Episode 62 – Fast Rhythms, Furious Management w/Salim Rezaie (Bonus Feature)

 

Due to ‘The Big C’, ECHO Yacht Club was cancelled… but life goes on, and so does our podcast. We decided to turn lemons into lemonade and have our friend and emergency medicine powerhouse Dr. Sal Rezaie join us for a discussion based on what-would-have-been our Yacht Club presentation.

Everyone carries a card that says they know how to manage tachydysrhythmias. But what happens when your interventions don’t work? In this podcast episode, we focus on recent evidence suggesting alternate means of management when the patient remains refractory to conventional therapy. Though controversial, we will NOT be spewing ACLS algorithms. It’s time to live your life a quarter of a milligram at a time.

 

062_algorithm

 

Modified Valsalva Manuever


Guest

Sal

Salim R. Rezaie, MD completed his medical school training at Texas A&M Health Science Center, and continued his medical education with a combined Emergency Medicine/Internal Medicine residency at East Carolina University.  Currently, he works as a community emergency physician at Greater San Antonio Emergency Physicians (GSEP), where he is the director of clinical education.  He is also the creator and founder of REBEL EM and REBEL Cast, a free, critical appraisal blog and podcast that try to cut down knowledge translation gaps of research to bedside clinical practice.

rebelem


https://casereports.bmj.com/content/12/3/e228208.abstract

https://emcrit.org/pulmcrit/magnesium-infusions-for-atrial-fibrillation-torsade/

https://www.tandfonline.com/doi/abs/10.1080/10903127.2019.1621411

https://www.sciencedirect.com/science/article/abs/pii/S0735675719303596

https://onlinelibrary.wiley.com/doi/full/10.1111/acem.13522

https://rebelem.com/the-revert-trial-a-modified-valsalva-maneuver-to-convert-svt/

https://rebelem.com/journal-update-beta-blocker-vs-calcium-channel-blocker-for-rate-control-in-atrial-fibrillation/

https://rebelem.com/lomaghi-trial-magnesium-sulfate-for-rapid-atrial-fibrillation/

https://rebelem.com/is-amiodarone-dead/

https://rebelem.com/the-best-af-trial-what-is-the-optimal-energy-selection-for-cardioversion-in-patients-with-afib/

https://rebelem.com/september-2016-rebel-cast-refractory-ventricular-fibrillation/

https://rebelem.com/the-dose-vf-pilot-rct-double-sequential-external-defibrillation-for-refractory-ventricular-fibrillation/

https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD003611.pub3/abstract

https://heart.bmj.com/content/91/5/618.short

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6811340/

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