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cardiology electrocardiogram anesthesiology checklist differential intraoperative cardiac dewinter equivalents ischemia twaves anaphylaxis causes clinical criteria embolism embolus hyperthermia interpretation ischaemia
De Winter T Wave ECG Pattern STEMI Equivalent - Left anterior descending (LAD) occlusion 1) Upsloping
Winter T Wave ECG ... in aVR (>= 1 mm ... DeWinter #TWaves #ECG ... #EKG #Electrocardiogram ... #Diagnosis #Cardiology
De Winter T-Waves on EKG - Anterior OMI - 2% of left anterior descending occlusions -
Winter T-Waves on EKG ... in aVR (0.5-1mm ... DeWinter #TWaves #EKG ... #ECG #Electrocardiogram ... #diagnosis #cardiology
Pericarditis on EKG Stage 1 - Widespread ST elevation (<5mm) and PR depression; In aVR: ST depression
Pericarditis on EKG ... depression; In aVR ... #Pericarditis #EKG ... #ECG #electrocardiogram ... #cardiology #diagnosis
STEMI Equivalents on ECG • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
on ECG • Conventional ... STEMI - Elevation ... in aVR • Posterior ... #Equivalents #ECG ... #EKG #diagnosis
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
Causes of ST Segment Elevation - Differential Diagnosis Framework STEMI: • Upsloping convex STE: "Pardee's sign" +
Framework STEMI ... depression in aVR ... depression in aVR ... #diagnosis #cardiology ... #ecg #ekg #electrocardiogram
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
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 ... attempt to aspirate air ... #Management #Workup
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia If prolonged or ≥ 39 C this is a
Surgical devices, e.g ... Sepsis (→ 3-14) e.g ... malignant syndrome (e.g ... #Checklist #Diagnosis ... #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 ... #Management #Workup
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