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anesthesiology checklist differential intraoperative cardiology ecg electrocardiogram cardiac equivalents ischemia anaphylaxis causes contusion ctchest elevation embolism embolus hyperthermia ischaemia lung
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 ... #Interpretation
Intraoperative Circulatory Embolus - Guidelines for Crises in Anaesthesia Causes: thrombus, fat, amniotic fluid, air/gas. Signs: hypotension, tachycardia,
amniotic fluid, air ... Signs: hypotension ... Discontinue source of air ... attempt to aspirate air ... #Management #Workup
STEMI Equivalents on ECG • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
ST elevation in aVR ... V2 • Wellens sign ... pain • Wellens sign ... #EKG #diagnosis ... #differential #cardiology
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia If prolonged or ≥ 39 C this is a
hyperthermia crisis (late sign ... amphetamines) Toxic: • Radiologic ... Anesthesiology #Anesthesia ... #Checklist #Diagnosis ... #Management #Workup
Cardiac Tamponade - Guidelines for Crises in Anaesthesia Caused by an accumulation of blood, pus, effusion fluid
effusion fluid or air ... indicated, start CPR ... examination and vital signs ... Anesthesiology #Anesthesia ... #Management #Workup
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
is unconscious, signs ... consultation with cardiology ... Anesthesiology #Anesthesia ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
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
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
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