In “The Thinking Series,” host Ginger Locke, interviews the sharpest minds in emergency medicine about how they think. In this episode, she delves into how an EMS medical director asks her medics to bend their brains around the topic of tachycardia.
Dr. Katherine Remick is triple board certified in Emergency Medicine, EMS and Pediatrics. She is a professor at The University of Texas Dell Medical School in Austin. Our host met up with her at an EMS Station in Hays County, Tx., where Dr. Remick is the medical director.
They discuss:
- Differentiation of supraventricular tachycardia from sinus tachycardia.
- The importance of curiosity in history taking.
- Dr. Remick’s opinion on the use of mnemonics as memory aids in differential diagnosis.
- Physiologic max heart rate.
- Pediatric sinus tachycardia morphology.
- Visual approach to differential diagnosis: “head-to-toe” and “in-to-out.”
- Hemodynamic stability versus instability.