13 results
Evaluation of Electrical Injury in the Emergency Department 

Common Injuries by System:

CNS - Seizure, coma, spinal
Evaluation of Electrical ... high voltage Cardiac ... hemotympanum #Electrical ... Evaluation #Diagnosis #Management ... #Emergency #Algorithm
Cardiac Rupture with Pericardial Effusion

Apical 4 chamber. Note larger right sided pericardial effusion with significant compression
with Pericardial ... #pericardial #effusion ... Echocardiogram #ultrasound ... #Cardiology #A4c ... #clinical
Lightning Strike Electrical Injury
Types of Lightning Strikes: Direct, Side Splash, Contact injury, Ground current
ELECTRICAL INJURIES: Primary
type of current (AC ... Electric Arc- associated ... (lightening) AC ... CARDIAC: asytole ... #Injury #clinical
Malignant Pericardial Effusion causing Cardiac Tamponade on Echocardiogram (A4c)
Hypotensive + respiratory distress. At first glance you
Malignant Pericardial ... Effusion causing Cardiac ... Echocardiogram (A4c ... #Tamponade #clinical ... #ultrasound #a4c
Toaster Electrocution Electrical Injury
Primary determination of injury extent = amount of CURRENT flowing through body.
VARIABLES: voltage,
Electrocution Electrical ... type of current (AC ... Electric Arc- associated ... (lightening) AC ... #Injury #clinical
Malignant Pericardial Effusion causing Cardiac Tamponade on Echocardiogram (S4c)
Hypotensive + respiratory distress. At first glance you
Malignant Pericardial ... Effusion causing Cardiac ... Echocardiogram (S4c ... #Tamponade #clinical ... #ultrasound #s4c
Myocarditis 

5 Principles of
Myocarditis:
1. Build clinical suspicion
2. Decide on EMBx
3. Manage acute cardiac injury
4. Manage chronic
Build clinical suspicion ... Manage acute cardiac ... injury 4. ... agent, steroids, AC ... Myocarditis #diagnosis #management
Cardiac Tamponade - Guidelines for Crises in Anaesthesia
Caused by an accumulation of blood, pus, effusion fluid
Cardiac Tamponade ... Plan definitive management ... to identify pericardial ... toward the largest pericardial ... Checklist #Diagnosis #Management
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
SHOCK INITIATIVE ALGORITHM ... visualization with use of ultrasound ... Fick calculated cardiac ... IF LVEDP >15 or Cardiac ... DCSI #Initiative #Management
Pericardial Effusion seen during CPR on POCUS Echocardiogram

This patient was given an anesthetic and became unresponsive
Pericardial Effusion ... best choice for management ... patient presented in cardiac ... Echocardiogram #clinical ... #ultrasound #ACLS