117 results
Wellens' Sign: LAD-T Wave Inversion 
Life threatening T wave inversions in precordial leads. Often V2-V3 
Specific
period without chest ... pain, as they result ... Serial EKGS in pts ... Wellens #Sign #EKG ... #Diagnosis #Cardiology
Osborn waves - positive deflections at the J point (negative in aVR and V1) with a
They may also occur ... This EKG was recorded ... #EKG #EmergencyMedicine ... #Cardiology #diagnosis ... #CriticalCare #
Wellens' Syndrome on ECG

A 66-year-old man with hypertension and hyperlipidemia presents after an episode of severe
episode of severe chest ... A 12-lead ECG is ... performed as seen ... #EKG #Electrocardiogram ... #Clinical #Cardiology
Severe Asthma Algorithm - Management of Life-Threatening Asthma in the Emergency Department
Step One
1. Nebulized Albuterol
2. Nebulized
Asthma Algorithm - Management ... Diagnostics: Chest ... HCG, ECG if concern ... #Emergency #Management ... #CriticalCare #
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
TTE +/- TEE) • Chest ... block (+/- daily EKG ... • Aggressive management ... Endocarditis #checklist #criticalcare ... #diagnosis #management
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
intolerance • Chest ... gallop • Abnormal ECG ... cardiac death Management ... Myocarditis #Diagnosis #Management ... #Cardiology
Pancreatitis management checklist 
Evaluation to guide etiology & management 
 - RUQ ultrasound 
 - Calcium
Pancreatitis management ... guide etiology & management ... septic shock (e.g ... Checklist #Diagnosis #Management ... #CriticalCare
Hypoxemia / Hypoxia - Rapid Response Management Algorithm

Stridor - Upper airway pathology:
 • Anaphylaxis
 • Foreign
Rapid Response Management ... ., GBS, MG, ALS) ... • ↓ chest wall ... ., flail chest, ... differential #Diagnosis #Management
BiPAP titration in CHF
 - Mean airway pressure provides goodness 
 - Ramp up the ePAP
pressure - Could also ... CongestiveHeartFailure #Management ... #CriticalCare # ... Cardiology
Bradycardia
1) First Steps: IV, O2, Monitors, ECG, Pads on patient, Crash Cart in room. Is patient
O2, Monitors, ECG ... Shock, SBP <90, AMS ... SOB from CHF, Chest ... #differential #management ... #cardiology