16 results
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
ALGORITHM INCLUSION CRITERIA ... Ischemic Symptoms  EKG ... evidence of AMI (STEMI ... DCSI #Initiative #Management ... #Cardiology
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
on ECG • Conventional ... of the leads l, aVL ... • Sgarbossa criterion ... #Equivalents #ECG ... #differential #cardiology
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
with caution in pulmonary ... disease or CHF) ... disease or CHF) ... Tachycardia #Treatment #management ... #cardiology #algorithm
Medical Management of Acute RV Failure
 • Evaluate and Treat Etiology of RV Failure [e.g. Acute
Medical Management ... of RV Failure [e.g ... involving RV, Pulmonary ... Supportive Measures Act ... rightventricular #cardiology
Posterior Elbow Dislocation
The elbow is the second most commonly dislocated major joint in adults and the
fracture • ED Management ... recommendations MH/CCF ... Dislocation #Posterior #Radiology ... XRay #Diagnosis #Management ... #Orthopedics #Sports
Monteggia Fracture 
Fracture of proximal ulnar shaft with radial head dislocation. Remember “MUGR” to recall where
ligamentous injury (LCL ... DC with orthopedic ... repair MH/CCF ... Forearm #Ulnar #Radiology ... #Orthopedics #Proximal
Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
follow-up with orthopedics ... 1 week MH/CCF ... Scaphoid #Carpal #Radiology ... XRay #Diagnosis #Management ... #Orthopedics #Sports
RADIAL HEAD FRACTURE 
Radial head fractures are the most common elbow fracture in adults and are
fracture • ED Management ... II-IV, pending orthopedic ... recommendations MH/CCF ... Fracture #Elbow #Radiology ... #Orthopedics #MSK
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Cardiogenic Shock - Management ... NSAlDs, ACE-inhibitors ... #Checklist #CHF ... #HeartFailure #Cardiology ... #Management
Myocarditis 

5 Principles of
Myocarditis:
1. Build clinical suspicion
2. Decide on EMBx
3. Manage acute cardiac injury
4. Manage chronic
Fulminant: - Acute HF ... Pericarditis, Tamponade EKG ... agent, steroids, AC ... Myocarditis #diagnosis #management ... #cardiology #summary