9 results
EKG in Acute Pulmonary Embolism
The sensitivity and specificity for EKG findings in acute PE are low.
EKG
Embolism The sensitivity ... other causes of cardio-pulmonary ... Changes • STE in aVR ... #Embolism #AcutePE ... #diagnosis #cardiology
Intraoperative Circulatory Embolus - Guidelines for Crises in Anaesthesia
Causes: thrombus, fat, amniotic fluid, air/gas.
Signs: hypotension, tachycardia,
amniotic fluid, air ... Signs: hypotension ... plasmaphoresis Box D: AIR ... Discontinue source of air ... attempt to aspirate air
Approach to ECGs - VT vs. SVT - Wide Tachycardias
DDx = VT vs. SVT with BBB
All
is positive in aVR ... - Brugada's sign ... VT #VTach #SVT #Comparison ... #ekg #cardiology ... #diagnosis #electrocardiogram
Septic emboli
Septic emboli usually present as multiple ill-defined nodules.
In about 50% cavitation is seen.
CT demonstrates more
can suggest the diagnosis ... abutting the pleura, air-bronchograms ... feeding vessel sign ... #Clinical #Radiology ... #CXR #CTChest #
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
Equivalents / Don't Miss Signs ... leads with STE in avR ... inversion - STE avR ... #EKG #diagnosis ... #Equivalents #Interpretation
Basics of Waveform Capnography
Waveform capnography assesses ventilation by monitoring exhaled carbon dioxide
Can use measurement and morphology
AND REBREATHING/AIR ... baseline PECO2 due to air ... pneumothorax with air ... oscillations - Sign ... #patterns #diagnosis
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
STE: "Pardee's sign ... depression in aVR ... depression in aVR ... complex Pulmonary Embolism ... #cardiology #ecg
Cardiac Tamponade - Guidelines for Crises in Anaesthesia
Caused by an accumulation of blood, pus, effusion fluid
Cardiac Tamponade ... effusion fluid or air ... indicated, start CPR ... • Diagnostic ... examination and vital signs
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
Vital signs: BP ... SpO2 88% on room air ... a chest x-ray (CXR ... defaulting to a normal interpretation ... #Radiology #CTChest