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Emergency Medicine Practice
Inside This Month's Issue
Wide Complex Tachycardia: Diagnosis And Management In The Emergency Department

W hen confronted with a wide complex tachycardia (WCT), it is crucial to consider the differential diagnosis, which includes both common and uncommon entities. The common entities include supraventricular tachycardia (SVT) with aberrant ventricular conduction (AVC) and ventricular tachycardia (VT). Less commonly encountered processes include preexcited tachycardias (seen in patients with Wolff-Parkinson-White [WPW] syndrome) as well as toxic- and metabolicallymediated WCTs (sodium channel blocker toxicity, severe hyperkalemia).
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Pediatric Emergency Medicine Practice
Pediatric Emergency Medicine Practice
Inside This Month's Issue
Emergency Presentation Of Congenital Heart Disease In Children

Though the field of antenatal ultrasound and echocardiography has advanced considerably in the last decade, many children with congenital heart disease (CHD) are not diagnosed before birth and do not manifest symptoms until after discharge from the newborn nursery. 1-7 Frequently, when symptoms develop, they are first brought to the attention of an emergency medicine physician. These infants and children are particularly challenging patients, often appearing markedly distressed with non-specific signs and symptoms that resemble more common pediatric diagnoses such as sepsis, respiratory infection, or reactive airway disease.
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