Best Atrial Flutter Podcasts (2025)

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Atrial Fibrillation/Flutter with RVR 5:00

Play Pause

12d ago5:00

5:00

Identification of Atrial Fibrillation (A-Fib) & Atrial Flutter on the ECG and the treatment of unstable and stable SVT patients with A-Fib/Flutter. The ECG characteristics of A-Fib and A-Flutter. Recognition and treatment of unstable patients in A-Fib/Flutter with rapid ventricular response (RVR). Suggested energy settings for synchronized cardiove…

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EP Edge Journal Watch Issue 3: Smartwatch AFib Detection: Accuracy, False Alerts, Apple Watch ECG, and What Clinicians Need to Know 7:52

2d ago7:52

7:52

Smartwatches are now among the most widely used heart-monitoring tools in the world — but how accurate are they really at detecting AFib? In this December 2025 Issue 3 of EP-Edge Journal Watch, Dr. Niraj Sharma, cardiologist and cardiac electrophysiologist, breaks down the strongest evidence to date on smartwatch AFib detection, Apple Watch ECG per…

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Hypothermia: A H&T Reversible Cause of Cardiac Arrest 3:58

6d ago3:58

3:58

Accidental hypothermia is one of the Hs in ACLS’s reversible H&T cause of cardiac arrest. Hypothermic patients aren't dead until they are warm and dead. As the body’s temperature drops below 36° C, hypothermia may be classified as moderate or severe. Modifying the ACLS Adult Cardiac Arrest algorithm for patients with severe hypothermia. Following t…

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Medication Review: Calcium Channel Blockers 4:06

7d ago4:06

4:06

The use of calcium channel blocker medications for tachycardias refractory to Adenosine and to lower the blood pressure of hypertensive stroke patients. Calcium is one of the ions that move across the cellular membrane during cardiac contraction and relaxation. The primary use of calcium channel blockers in ACLS. Use of calcium channel blockers for…

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Post-Arrest Care & Targeted Temperature Management (TTM) 5:03

8d ago5:03

5:03

Review the ACLS treatment goals and targeted temperature management (TTM) for post-arrest patients that have return of spontaneous circulation (ROSC). Post-arrest care and recovery are the final two links in the chain of survival. Identification of ROSC during CPR. Initial patient management goals after identifying ROSC. Indications for starting TT…

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Medication Review: Nitroglycerine 4:36

11d ago4:36

4:36

Review the indications, contraindications, and safe administration of nitroglycerine to Acute Coronary Syndrome (ACS) patients with ischemic chest pain. Nitroglycerine’s effects. Assessment of vital signs prior to administering nitro. Indications for use of nitroglycerine. Nitroglycerine's contraindications & considerations for use. Use of nitro wi…

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Tablets & Toxins: An H&T Reversible Cause of Cardiac Arrest 4:24

13d ago4:24

4:24

Review of Tablets & Toxins as an ACLS H &T reversible causes of cardiac arrest with some specific, commonly encountered examples. The majority of toxins don’t have a specific antidote. There are a few toxins for which we have emergency interventions and ACLS providers should be familiar with. Reviewing the patient's medical history for indicators t…

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Which ACLS Algorithm? 8:39

14d ago8:39

8:39

Why we use algorithms. Generally speaking, if there’s a change in a patient’s condition, we should ensure we’re using the correct algorithm. Three key points to remember when using ACLS algorithms. Walk through of an example mega code scenario with explanations of when and why we change to a different ACLS algorithm. Good luck with your ACLS class!…

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Beta Blockers 4:41

15d ago4:41

4:41

Review of when we should consider beta blocker use in ACLS's Acute Coronary Syndrome (ACS) & Tachycardia algorithms and when they're contraindicated. Beta blocking medications attach to Beta receptors to inhibit or “block” the effects of epinephrine (adrenaline)and norepinephrine in the body. The primary locations of Beta I, II, and III receptors. …

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Advanced Airways 7:32

18d ago7:32

7:32

A review of advanced airway use in ACLS’s Adult Cardiac Arrest algorithm including: advantages, types, insertion, and monitoring ETCO2. When we should consider insertion of an advanced airway for patients in a shockable vs non-shockable rhythm. In addition to an endotracheal tube (ETT), other ACLS advanced airways. The advantages of using an advanc…

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Antiarrhythmic Use After ROSC 5:09

19d ago5:09

5:09

Indications & use of an antiarrhythmic infusion of Amiodarone or Lidocaine for cardiac arrest patients that have return of spontaneous circulation (ROSC). Our primary focus immediately following return of spontaneous circulation (ROSC). Post-arrest goals for O2 saturation, ETCO2, and BP/MAP. Indications for use of an antiarrhythmic after ROSC. Dete…

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Hydrogen Ions as a H&T Reversible Cause of Cardiac Arrest 4:51

20d ago4:51

4:51

Hydrogen ions is on one of the Hs in ACLS's H&T reversible causes of cardiac arrest. When considering hydrogen ions as a cause, what we’re looking at is the patient’s pH, or acid/base balance, and conditions that affect it. The body's normal pH. Using patient history, ABGs, & labs to determine acidosis or alkalosis. Common conditions/causes that ma…

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Adult Cardiac Arrest Code Flow 8:33

21d ago8:33

8:33

BLS & ACLS's Adult Cardiac Arrest algorithm makes it easier to act as team leader during a code by following an If/Then methodology. Review of BLS steps for determining if rescue breathing or CPR is needed and use of an AED for patients in cardiac arrest. If the patient is in a non-shockable rhythm on the ECG such as PEA or asystole, we will go dow…

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EP Edge Journal Watch: Critical Analysis: AQUATIC Trial — AF + CAD: Impact on Antithrombotic Strategy (NEJM October 2025) 12:55

22d ago12:55

12:55

In this special EP Edge Journal Watch episode, Dr. Niraj Sharma delivers a critical analysis of the landmark AQUATIC Trial, published in the New England Journal of Medicine (October 2025). This pivotal study explores optimal antithrombotic strategies in patients with atrial fibrillation (AF) and coronary artery disease (CAD) — balancing ischemic pr…

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Medication Review: Aspirin 4:31

22d ago4:31

4:31

Review of aspirin's mechanism of action, indications, contraindications, and administration for patients with acute coronary syndrome (ACS) or stroke. Aspirin's mechanism of action & benefits for Acute Coronary Syndrome (ACS) patients. Contraindications and considerations for aspirin’s use. The dose and route of administration of aspirin for ACS pa…

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First & Third Degree AV Blocks 7:42

25d ago7:42

7:42

Review of lead II ECG characteristics, rules to identify first and third degree heart blocks, and treatment following the ACLS Bradycardia algorithm. To pass ACLS, you will need to be able to identify common rhythms on a monitor during your mega code and ECG strips on your written exam. Review of normal ECG morphology in lead II. Characteristics of…

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Lidocaine & Amiodarone Review 6:45

26d ago6:45

6:45

Review of antiarrhythmic medications Amiodarone & Lidocaine for use in ACLS's Adult Cardiac Arrest, Post Arrest, and Tachycardia algorithms. The two first-line ACLS antiarrhythmics that are generally used. Lidocaine dosing and administration to patients in persistent V-Fib or pulseless V-Tach. Amiodarone dosing and administration to patients in per…

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Nasopharyngeal Airway (NPA) Review 5:14

27d ago5:14

5:14

Review the indications, contraindications, sizing, and insertion of the nasopharyngeal airway (NPA) to maintain the airway of patients with a gag reflex. The tongue is the most common airway obstruction in an unconscious patient. When the nasopharyngeal airway (NPA) should be used as an alternative to the oropharyngeal airway (OPA). Examples of whe…

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Tamponade: An H&T Reversible Cause of Cardiac Arrest 5:19

28d ago5:19

5:19

The causes, physiology, signs & symptoms, and treatment of cardiac tamponade as an ACLS H&T reversible cause of cardiac arrest. When blood, or other fluids, accumulate in the sac around the heart it’s called a cardiac tamponade or pericardial tamponade. The effects of tamponade on the electrical system and chambers of the heart. Cardiac tamponade c…

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Team Leader Role and Use of Quick Reference Cards 5:09

29d ago5:09

5:09

The role of team leader, code team responsibilities, and the use of reference cards during your ACLS class megacode and written exam. Two things have changed in recent years to aid students that don't use ACLS in their daily practice. The team leader’s roles and responsibilities. Using closed-loop communication and speaking up if there’s any doubt …

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EP Edge Journal Watch — November 2025, Edition 2: From Lifestyle to Lifeline 16:41

1M ago16:41

16:41

In this episode, Dr. Niraj Sharma breaks down six pivotal studies shaping today’s electrophysiology and cardiology practice—from lifestyle-driven AF control (ARREST-AF) and post-CABG atrial fibrillation management to the DOAC + aspirin conundrum in stable CAD, the return of digitoxin in HFrEF, insights from CABANA-Substudy, and the latest ICD regis…

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Why Early CPR & Defibrillation is Important 5:22

1M ago5:22

5:22

Early CPR and defibrillation improve cardiac arrest outcomes. Here's why CPR is important and five ACLS tips to reduce CPR interruptions. Two factors to cardiac arrest survivability that have been clearly shown to make the most difference. The most common dysrhythmia present during the first few minutes of cardiac arrest. How our chance of successf…

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EP Edge Journal Watch | Episode 1, November 2025: Potassium and VT, GDMT Withdrawal & AF Risk Uncovered 12:35

1M ago12:35

12:35

In this inaugural episode, Dr. Niraj Sharma breaks down three pivotal studies that could shift daily EP practice: How high-normal potassium targeting can reduce VT burden (POT-CAST trial). When GDMT withdrawal may be safe after recovery from tachycardia-induced cardiomyopathy. Why adverse pregnancy outcomes may predict long-term AF risk. Get the si…

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Quantitative Waveform Capnography 5:03

1M ago5:03

5:03

The use of quantitative waveform capnography in ACLS to confirm good CPR and placement of an ET tube, identify ROSC, and during post-cardiac arrest care. Waveform capnography use with, and without, an advanced airway in place. Monitoring end tidal CO2 during rescue breathing. Use of capnography to objectively measure good CPR. Capnography is a pref…

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Vagal Maneuvers 5:48

1M ago5:48

5:48

Review of vagal maneuvers and alternative treatments used in ACLS for stable patients with tachycardia at a rate over 150 bpm. Narrow complex tachycardia with a rate over 150 BPM. Unstable patients in SVT, or V-Tach with a pulse, should be cardioverted with a synchronized shock. Assessment & treatment of stable tachycardic patients. Commonly used v…

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Defibrillator Energy Settings 5:25

1M ago5:25

5:25

Review the energy settings needed for defibrillation and/or synchronized cardioversion using an AED, biphasic, or monophasic defibrillator. Defibrillators three basic categories. Use of an AED to rapidly deliver a shock. Advantages & use of biphasic defibrillators. Energy for monophasic defibrillators to defibrillate V-Fib or pulseless V-Tach. AED …

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Unstable Bradycardia 5:36

1M ago5:36

5:36

Bradycardia review including: stable vs unstable patients; assessment & monitoring; and ACLS treatment with Atropine, TCP, Dopamine, & Epinephrine drips. Signs & symptoms that indicate a bradycardic patient is unstable. Monitoring oxygen saturation with pulse oximetry and indications for administration of oxygen. Calcium channel blockers and beta b…

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Post-Arrest Care & Targeted Temperature Management (TTM) 5:05

1M ago5:05

5:05

Review the ACLS treatment goals and targeted temperature management (TTM) for post-arrest patients that have return of spontaneous circulation (ROSC). The goal of CPR. Post-arrest care and recovery are the final two links in the chain of survival. Identification of ROSC during CPR. Initial patient management goals after identifying ROSC. The patien…

1
The Stroke & Cardiac Chain of Survival 4:55

1M ago4:55

4:55

Review the chain of survival for cardiac and stroke emergencies and describe why strong EMS relations and specialized teams have better patient outcomes. The chain of survival for ACLS is the same as was learned in your BLS class. The beginning steps of the Cardiac Emergency and Stroke chain of survival. ACLS's timed goals for first medical contact…

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Hypokalemia & Hyperkalemia as a H&T Reversible Cause 4:42

1M ago4:42

4:42

Review of hypokalemia & hyperkalemia as reversible H&T causes of cardiac arrest including: medical conditions, ECG changes, lab values, and treatment. Heart muscle contraction and repolarization is dependent on Sodium, Calcium, Magnesium, and Potassium ions crossing cellular membranes. When a patient’s potassium levels get too low or too high, hypo…

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Time Goals for Assessment & Treatment of Stroke 5:05

1M ago5:05

5:05

Improved stroke outcomes have been shown when EMS transports to a stroke center and patients receive assessment, CT, & thrombolytics within these time frames. When treating patients having an MI or stroke, more minutes equals more dead cells. Because the majority of strokes are the ischemic type, the treatment for stroke is similar to an MI – to re…

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Medication Review: Adenosine 5:41

1M ago5:41

5:41

Review the indications, dosing, & administration of Adenosine for patients in supraventricular tachycardia (SVT) following ACLS's Tachycardia algorithm. Adenosine is the first IV medication given to stable patients with sustained supraventricular tachycardia (SVT) refractory to vagal maneuvers. Symptoms indicating a stable vs unstable patient. Comm…

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Atrial Flutter for Hospitalists: Master the ECG, Anticoagulation, Critical Distinction from Atrial Fibrillation, and the Ablation Advantage 31:09

1M ago31:09

31:09

In this episode of Hospital Medicine Unplugged, we sprint through atrial flutter—spot the sawtooth, choose the fastest safe path to sinus, and keep strokes off the table. We open with the do-firsts: confirm the rhythm and triage the “why.” Grab a 12-lead ECG—regular narrow tachycardia with classic sawtooth F-waves (atrial ~240–300 bpm, often 2:1 AV…

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Atrial Fibrillation Management in Hospitalized Patients: Early Rhythm Control, Ablation, and the 48-Hour Anticoagulation Rule 38:31

1M ago38:31

38:31

In this episode of Hospital Medicine Unplugged, we blitz inpatient atrial fibrillation (AF)—fix the trigger, pick rate vs rhythm, and prevent stroke—so you can move fast and safely. We open with the do-firsts: vitals + hemodynamics, bedside ECG, labs (electrolytes, Mg, CBC, TSH when relevant), pulse oximetry/ABG, and a deliberate hunt for reversibl…

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Hepatorenal Syndrome (HRS-AKI) in Hospitalized Patients: Navigating the Razor-Thin Margin of Survival in Cirrhosis—New Guidelines, Albumin, and the Transplant Bridge 30:46

1M ago30:46

30:46

In this episode of Hospital Medicine Unplugged, we sprint through hepatorenal syndrome–AKI (HRS-AKI)—exclude look-alikes fast, start albumin + vasoconstrictor early, watch the lungs, and loop in transplant. We open with the do-firsts: clinical diagnosis by exclusion—rule out hypovolemia, nephrotoxins, structural kidney disease. Pull diuretics/ACEi/…

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Cardiorenal Syndrome in the Hospitalized Patient: Targeting Venous Congestion and Pseudo-AKI with the VeXUS Protocol 42:46

1M ago42:46

42:46

In this episode of Hospital Medicine Unplugged, we blitz cardiorenal syndrome (CRS)—define fast, subtype smart, decongest early, protect kidneys, and tighten the cardio–nephro handshake. We start with the frame: CRS = bidirectional heart–kidney dysfunction where trouble in one organ triggers or worsens the other. Know the five plays: Type 1 (acute …

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Characteristics of Second-Degree AV Blocks and Their Treatment 7:25

2M ago7:25

7:25

One method of interpreting ECGs to identify the characteristics of second-degree AV blocks and the treatment of unstable bradycardia patients with them. To pass the written ACLS exam and mega code, students need to be able to identify basic ECG dysrhythmias, including the two types of second-degree heart block. One method of ECG rhythm identificati…

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Mallory-Weiss Tears in Hospitalized Patients: Identifying the High-Stakes Bleeders and Mastering Mechanical Hemostasis 26:48

2M ago26:48

26:48

In this episode of Hospital Medicine Unplugged, we cut through the Mallory-Weiss tear—spot it fast, stop the bleed, stabilize smart, and endoscope right. We open with the why and who: a longitudinal mucosal laceration at the gastroesophageal junction, triggered by vomiting, retching, or sudden pressure surges. Alcohol, reflux esophagitis, hiatal he…

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Inpatient Management of Portal Hypertension: Decompensation and the Preemptive TIPS Revolution in Hospitalized Patients 26:05

2M ago26:05

26:05

In this episode of Hospital Medicine Unplugged, we tackle portal hypertension in hospitalized cirrhosis—find it fast, control bleeding, dry the belly, clear the brain, and pick the right patients for TIPS and transplant. We open with the diagnosis play: suspect it in cirrhosis with splenomegaly/ascites/varices. Gold standard is HVPG; CSPH = ≥10 mmH…

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Oxygen Administration and SaO2 Monitoring 4:55

2M ago4:55

4:55

Review the indications for oxygen administration and monitoring O2 saturation with pulse oximetry for patients in various ACLS algorithms. The O in MONA is Oxygen. When we should administer oxygen to ACS patients. When O2 administration is unnecessary based on an accurate pulse ox. Monitoring patient's oxygen saturation (SaO2) using a pulse oximete…

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Acute Upper GI Bleeding (UGIB) in Hospitalized Patients: Mastering the Critical First Hours of Hematemesis Management for Hospitalists 31:27

2M ago31:27

31:27

In this episode of Hospital Medicine Unplugged, we blitz acute peptic ulcer bleeding—risk fast, resuscitate right, scope within 24 hours, secure hemostasis, run high-dose PPIs, and crush recurrence. We open with the do-firsts: airway/breathing/circulation, 2 large-bore IVs, orthostatics, urine output, type & cross, and labs (CBC, BMP, INR/LFTs). Ri…

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Peptic Ulcer Bleeding in the Hospitalized Patient: From Emergency Resuscitation to the 72-Hour PPI Mandate and Anticoagulation Balancing Act 40:41

2M ago40:41

40:41

In this episode of Hospital Medicine Unplugged, we take on acute peptic ulcer bleeding (PUB)—triage fast, stabilize smart, scope early, seal the vessel, and lock in acid suppression + secondary prevention. We start at the door with risk stratification: use the Glasgow–Blatchford Score (GBS)—≤1 means very-low risk and potential outpatient management…

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Diverticulitis in Hospitalized Patients: The New Evidence on Antibiotics, Abscess Drainage, and Who Needs Surgery 33:40

2M ago33:40

33:40

In this episode of Hospital Medicine Unplugged, we blitz acute diverticulitis—spot it early, stage it right, treat what matters, and prevent the encore. We open with the why: ~200,000 US admissions/year and >$6.3B in costs. Risk stacks with age >65, obesity, NSAIDs/steroids/opioids, HTN/DM2, connective-tissue disease, and genetics. Patients roll in…

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Acute Variceal Bleeding in the Hospitalized Patient: The Critical 3-Step Protocol, Restrictive Resuscitation, and Why Early TIPS is a Game Changer for High-Risk Patients 26:19

2M ago26:19

26:19

In this episode of Hospital Medicine Unplugged, we dive into acute variceal bleeding—a high-stakes emergency in cirrhotic patients where seconds count and outcomes hinge on rapid, coordinated care. We start with the crash course in recognition and stabilization: ICU-level monitoring, two large-bore IVs, and cautious transfusion—targeting a hemoglob…

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Prinzmetal's Angina for the Hospitalist: The Supply-Side Crisis—Diagnosis, Monitoring, and Why Beta Blockers Are Deadly 27:37

2M ago27:37

27:37

In this episode of Hospital Medicine Unplugged, we tackle Prinzmetal’s (variant) angina—catch the transient ST changes, prove the spasm, stop the vasoconstriction, and prevent malignant arrhythmias. We open with the do-firsts: targeted history (rest pain, night/early-AM clustering, hyperventilation/cold/drug triggers), ECG during pain (repeat until…

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Management of TB in the Hospitalized Patient: Molecular Speed, Isolation Rules, and Tailored Drug Strategies for Hospitalists 32:35

2M ago32:35

32:35

In this episode of Hospital Medicine Unplugged, we tackle hospital-focused TB—isolate fast, diagnose accurately, treat immediately, and coordinate with public health. We open with the do-firsts: airborne isolation (negative pressure + N95s), notify public health, obtain CXR and 2–3 sputums for AFB smear/culture, and run first-line NAAT (Xpert MTB/R…

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Life Over Limb: Decoding the High-Stakes Decision for Lower Extremity Amputation in the Hospitalized Patient 22:39

2M ago22:39

22:39

In this episode of Hospital Medicine Unplugged, we cut through hospital-focused amputation decisions—prioritize life over limb, align with patient goals, and plan for function from day one. We open with the do-firsts: stabilize sepsis and perfusion, control infection with source control, tighten inpatient glucose, and stage limb threat (WIfI, GLASS…

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Contrast-Induced Nephropathy in Hospitalized Patients: KDIGO Guidelines, Dual Mechanism Injury, and Essential Prevention Protocols 29:56

2M ago29:56

29:56

In this episode of Hospital Medicine Unplugged, we unpack contrast-induced nephropathy (CIN)—spot the risks, flood the kidneys (not the lungs), cut the contrast, and prevent a hospital-acquired AKI before it starts. We open with the do-firsts: identify high-risk inpatients—those with CKD (especially eGFR <30), diabetes, heart failure, advanced age,…

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Hungry Bone Syndrome: Decoding the Post-Surgery Mineral Debt, Risk Stratification, and Aggressive Management Protocols in Hospitalized Patients 26:26

2M ago26:26

26:26

In this episode of Hospital Medicine Unplugged, we dive into hungry bone syndrome (HBS)—spot it early, replace hard, monitor relentlessly, and shorten the stay. We open with the do-firsts: check calcium, phosphate, magnesium, ALP, and PTH q6–12h in the first 48–72 hours post-op; screen symptoms (paresthesias, cramps, tetany) and get an ECG for QTc …

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Empyema Management in the Hospitalized Patient: Conquering the 47% Mortality Risk in Hospital-Acquired Pleural Infections 33:16

2M ago33:16

33:16

In this episode of Hospital Medicine Unplugged, we take on pleural empyema in the hospital—recognize fast, drain early, cover smart, escalate on time—because delays and resistant bugs kill. We set the stage: hospital-acquired empyema hits harder than community-acquired (~47% vs ~17% mortality), driven by MRSA and Pseudomonas/Gram-negatives, poly-mi…