In this episode we were joined by Dr. Kelsey Billups to discuss an interesting case that presented in the ED. The patient was experiencing tachycardia and became unstable even after treatment in the ED. This case study presents a great opportunity to discuss what we do when you have exhausted the ACLS algorithm and nothing seems to be working. If you have experienced a similar case or would like to weigh in on this topic feel free to leave comments. Stay Safe!!!