22 results
Left Main Coronary Artery Thrombus seen on Angiography

“Mother of all coronary thrombi”.  55 year old
Main Coronary Artery ... “Mother of all ... Anterior wall STEMI ... , in Cardiogenic ... shock, ECG predicted
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Shock - Management Checklist ... Evaluation - EKG ... Nephrotoxins (e.g ... channel blocker (eg ... shock #Checklist
Wraparound LAD STEMI on EKG
47 year old with chest pain. Ectopic atrial rhythm with ST elevations.
on EKG 47 year ... What's the culprit artery ... The mother of all ... #EKG #clinical ... #ecg
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
Ischemic Symptoms  EKG ... evidence of AMI (STEMI ... or NSTEMI) Cardiogenic ... TIMI III flow in all ... Initiative #Management #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 ... of the leads l, aVL ... #Equivalents #ECG ... #EKG #diagnosis
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia

If the patient is unconscious, signs of cardiac
trolley and 12-lead ECG ... CM5 continuous ECG ... Obtain a 12-lead ECG ... Ischemia #Ischaemia #Anesthesiology ... #Checklist #Diagnosis
Right Heart Catheterization - Pulmonary Artery Pressures and Calculations
PULMONARY VASCULAR RESISTANCE = (meanPAP-PCWP) / CO
 •
Artery Pressures ... ARTERY PULSATILITY ... RV dysfunction. e.g ... forward flow. e.g ... #diagnosis #cardiology
Noncardiogenic Pulmonary Edema - Differential Diagnosis Framework

NCPE Pathophysiology:
Noncardiogenic pulmonary edema occurs because of excessive pulmonary capillary
Noncardiogenic Pulmonary ... level <100 pg/ml EKG ... ventricular function Pulmonary-Artery ... use causing non-cardiogenic ... differential #diagnosis #cardiology
Intraoperative Sepsis - Guidelines for Crises in Anaesthesia

Severe sepsis (hypotension persisting after initial fluid challenge of
Intraoperative Sepsis ... hypotension persisting after ... cultures if possible (eg ... anaesthesia #Sepsis #Anesthesiology ... #Checklist #Diagnosis
Can’t Intubate, Can’t Oxygenate (CICO) - Guidelines for Crises in Anaesthesia
This is the last resort when
last resort when all ... airway expertise e.g ... Intubation #Difficult #Anesthesiology ... #Anesthesia #Intraoperative ... #Checklist #Diagnosis