Abstract
Background: Tachyarrhythmias are a common presentation in the emergency department (ED). Some arrhythmias, if not treated properly or identified quickly, will lead to the development of multiple complications including syncopal attacks, strokes, heart failure, cardiac arrest, and sudden death. Therefore, we aim to look into the teaching approach of tachyarrhythmias and common pitfalls that both medical students and new physicians face in the recognition, diagnosis, and management of these conditions.

METHODS: A literature search was performed with the keywords “ECG Interpretations”, “critical care”, “emergency medicine”, “principals of ACLS skills", "ACLS" and "tachyarrhythmias”. The literature search included an overview of recent definitions, causes, and recent therapeutic strategies.

CONCLUSION
The steps outlined in the review will help to quickly assess, identify the ECG presentations, and treat patients with tachyarrhythmias. Treating any life-threatening arrhythmias in a patient is an essential skill for an emergency physician. This review is hopefully enough to strengthen the knowledge of new physicians and reduce the rates of false diagnoses.

Key words: Tachyarrhythmias, Physicians, Skill Approach, ECG interpretations.