Emergency Medicine Board Bombs 239. Torsades & Charcuterie
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Nov 15, 2024 Dive into the world of emergency medicine with insights on polymorphic ventricular tachycardia, featuring a real case study that underscores the urgency of synchronized cardioversion. Discover the unique EKG patterns of torsades de pointes and the critical role of magnesium sulfate in treatment. The hosts share expert strategies for managing unstable patients, while also emphasizing the importance of thorough electrolyte monitoring. Get ready for an engaging discussion that blends medical knowledge with practical advice for board prep!
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Managing Unstable Polymorphic VT
- Treat unstable polymorphic VT with synchronized cardioversion, even if it looks like Torsades de Pointes.
- This is crucial for patients who are altered, hypotensive, or have signs of end-organ dysfunction.
Polymorphic VT Mimicking Torsades
- Polymorphic VT can mimic Torsades de Pointes, making magnesium seem like the right answer.
- However, unstable patients need immediate synchronized cardioversion, regardless of magnesium levels.
Patient Populations Prone to Torsades
- Consider magnesium deficiency in heart failure patients, alcoholics, and poorly controlled diabetics.
- These patients are prone to Torsades de Pointes due to diuresis and electrolyte imbalances.