30 results
Chest Pain - Diagnosis and Workup Algorithm

History and Exam
Acute life-threatening causes:
 • Acute myocardial infarction
 •
Diagnosis and Workup ... Pulmonary embolism • Cardiac ... tamponade • Esophageal ... : • EKG • Bedside ... ultrasound
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Setup - Ultrasound ... telemetry, 12-Lead EKG ... and Survey 4) Workup ... pericarditis, Pericardial Tamponade ... Cardiac surgery?
Point of Care Transesophageal Echocardiogram during Cardiac Arrest

POC-TEE in cardiac arrest: Instant recognition of shockable rhythm
POC-TEE in cardiac ... a pulse check (ECG ... cardiacarrest #acls ... echocardiogram #clinical #ultrasound ... #pocus #tee #transesophageal
Myocarditis 

5 Principles of
Myocarditis:
1. Build clinical suspicion
2. Decide on EMBx
3. Manage acute cardiac injury
4. Manage chronic
Manage acute cardiac ... HF, Cardiogenic shock ... Pericarditis, Tamponade ... EKG Findings: ... agent, steroids, AC
Takotsubo Cardiomyopathy on POCUS

78 year old woman - Acute delirium but complaining of chest pain 
ECG:
Cardiomyopathy on POCUS ... of chest pain ECG ... chest leads Cardiac ... #Ultrasound #Clinical ... Echocardiogram #Cardiology
TypeA Aortic Dissection on POCUS Echocardiogram

80yo F presents with CP&SOB after syncope. BP 91/62, HR81, O2sat
Dissection on POCUS ... EKG: afib, twi I ... & aVL, poor rwp ... hemopericardium and tamponade ... Echocardiogram #Clinical #Ultrasound
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia

If the patient is unconscious, signs of cardiac
Intraoperative Cardiac ... trolley and 12-lead ECG ... CM5 continuous ECG ... Obtain a 12-lead ECG ... Diagnosis #Management #Workup
Cardiac Tamponade - Guidelines for Crises in Anaesthesia
Caused by an accumulation of blood, pus, effusion fluid
Cardiac Tamponade ... iatrogenic causes, e.g ... pericardiocentesis kit (eg ... #Anesthesia #Intraoperative ... Diagnosis #Management #Workup
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
Ischemic Symptoms  EKG ... visualization with use of ultrasound ... Fick calculated cardiac ... IF LVEDP >15 or Cardiac ... TIMI III flow in all
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Evaluation - EKG ... (no B-lines on ultrasound ... Nephrotoxins (e.g ... NSAlDs, ACE-inhibitors ... channel blocker (eg