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cardiology electrocardiogram anesthesiology checklist intraoperative workup differential equivalents ischemia twaves anaphylaxis clinical criteria dewinters elevation embolism embolus interpretation ischaemia occlusion
De Winter T Wave ECG Pattern STEMI Equivalent - Left anterior descending (LAD) occlusion 1) Upsloping
ECG Pattern STEMI ... ST elevation in aVR ... #TWaves #ECG #EKG ... Electrocardiogram #Diagnosis ... #Cardiology #Criteria
De Winter T-Waves on EKG - Anterior OMI - 2% of left anterior descending occlusions -
on EKG - Anterior ... before or after STEMI ... ST elevation in aVR ... Team @FOAMfrat #DeWinter ... #TWaves #EKG #ECG
Approach to ECGs - Ischemia MI = Biomarkers + ECG or echo/angiogram findings Pathologic Q - 1/3 height
= Biomarkers + ECG ... leads with STE in avR ... inversion - STE avR ... #Ischemia #ECG ... #EKG #diagnosis
ECGofTheDay - What is the most likely diagnosis? What is this finding called? ... The combination of
the most likely diagnosis ... ECG pattern. ... subtle STE in aVR ... be considered a STEMI ... #EKG #ECG #DeWinters
STEMI Equivalents on ECG • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
on ECG • Conventional ... J point • De Winter ... ST elevation in aVR ... #Equivalents #ECG ... #EKG #diagnosis
Intraoperative Circulatory Embolus - Guidelines for Crises in Anaesthesia Causes: thrombus, fat, amniotic fluid, air/gas. Signs: hypotension, tachycardia,
amniotic fluid, air ... Signs: hypotension ... Consider thrombolysis e.g ... Discontinue source of air ... attempt to aspirate air
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
is unconscious, signs ... trolley and 12-lead ECG ... CM5 continuous ECG ... Obtain a 12-lead ECG ... #Management #Workup
Cardiac Tamponade - Guidelines for Crises in Anaesthesia Caused by an accumulation of blood, pus, effusion fluid
effusion fluid or air ... iatrogenic causes, e.g ... pericardiocentesis kit (eg ... examination and vital signs ... Anesthesiology #Anesthesia
Causes of ST Segment Elevation - Differential Diagnosis Framework STEMI: • Upsloping convex STE: "Pardee's sign" +
Framework STEMI ... depression in aVR ... depression in aVR ... #cardiology #ecg ... #ekg #electrocardiogram
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
of more of the signs ... arrest, start CPR ... alternate vasopressor (e.g ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
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