22 results
Left Main Coronary Artery Thrombus seen on Angiography

“Mother of all coronary thrombi”.  55 year old
Main Coronary Artery ... old male with Anterior ... wall STEMI, in ... , ECG predicted ... CathLab #clinical #cardiology
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
on ECG • Conventional ... at (or 40-60 ms after ... #Equivalents #ECG ... #EKG #diagnosis ... #differential #cardiology
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
INITIATIVE ALGORITHM ... Ischemic Symptoms  EKG ... evidence of AMI (STEMI ... #Initiative #Management ... #Cardiology
Initial assessment and management of coma in pediatric population.

Airway - is it secure? 
Breathing — is
assessment and management ... Airway - is it secure ... Circulation - treat shock ... Scale Exposure - e.g ... impending brain stem
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
- Management Checklist ... Evaluation - EKG ... Nephrotoxins (e.g ... channel blocker (eg ... #HeartFailure #Cardiology
Massive Hemoptysis - Diagnosis and Management
 • Definitions: 
   - Hemoptysis = bleeding from
respiratory tract (e.g ... • Airway Management ... - Ablation, Cautery ... treatment #workup #pulmonary ... #criticalcare
Auto-PEEP 
What is Auto-PEEP?
 • Progressive air trapping & dynamic hyperinflation → ↑Palv at end expiration
resistance (e.g ... effort to trigger a ... resistance (e.g ... acute scenario (e.g ... #criticalcare #
Right Heart Catheterization - Pulmonary Artery Pressures and Calculations
PULMONARY VASCULAR RESISTANCE = (meanPAP-PCWP) / CO
 •
Artery Pressures ... in-hospital mortality in inferior ... RV dysfunction. e.g ... forward flow. e.g ... #diagnosis #cardiology
Approach to Hemorrhagic Shock
PLAN FOR CONTROLLING HEMORRHAGE & ACTIVATE MASSIVE TRANSFUSION PROTOCOL
 • Activate massive transfusion
to Hemorrhagic Shock ... resuscitation anyway ... fixed ratio, e.g ... #Management #Summary ... #CriticalCare #
Noncardiogenic Pulmonary Edema - Differential Diagnosis Framework

NCPE Pathophysiology:
Noncardiogenic pulmonary edema occurs because of excessive pulmonary capillary
Physical/Labs: • A ... level <100 pg/ml EKG ... ventricular function Pulmonary-Artery ... HTN • Airway ... differential #diagnosis #cardiology