9 results
Evaluation of Electrical Injury in the Emergency Department 

Common Injuries by System:

CNS - Seizure, coma, spinal
Seizure, coma, spinal ... high voltage Cardiac ... syndrome - high risk ... may be severe and ... #Diagnosis #Management
Coronary Artery Embolism - Etiology and Scoring
Etiology:
 • Direct: Clot (LV thrombus, LAA Thrombus), Valve (Vegetation,
Coronary Artery ... Paradoxical: Right to Left ... Presence of embolic risk ... prosthetic valve, PFO, ASD ... scoring #criteria #cardiology
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
Evaluation Major ... exam Determine Cardiac ... one post op Cardiology ... postoperative cardiac ... surgical management
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
: • New cardiac ... Paradoxical emboli via ASD ... than 5 to 7 days after ... Endocarditis #diagnosis #management ... #cardiology
Atrial Fibrillation (A-Fib) Summary

Symptoms:
• Palpitations, light-headedness, dizziness, dyspnea, exercise intolerance, chest pain, near-syncope, syncope.

Why?
Cardiac:
	• Valvular heart
Cardiac: • Valvular ... cardiovascular risk ... Anticoagulation ≥4 weeks after ... AFib #diagnosis #management ... #cardiology
Double Shunt on Echocardiogram
What do you see on this saline contrast study, in a patient with
shifts left ... stretched PFO or ASD ... , and later (after ... PVeins (extra-cardiac ... clinical #pocus #a4c
If the patient has a HEART Score of 0-3 and a negative initial troponin, have a
of an adverse cardiac ... hospitalized for further evaluation ... stratification is left ... #Management #PatientInfo ... #Cardiology #ChestPain
Management of Anthracyclines and HER2 Antagonist Cardiotoxicity
Anthracyclines cause cardiomyopathy:
 ✖ Reduction in left ventricular ejection fraction
Management of Anthracyclines ... ✖ Reduction in left ... years, baseline cardiac ... early detection of cardiac ... Cardiotoxicity #cardiology
Peripartum Cardiomyopathy (PPCM)

What is PPCM?
• A form of acute systolic heart failure that develops late in
Risk Factors: • ... Spontaneous coronary artery ... experience recovery of cardiac ... management can ... Cardiomyopathy #Cardiology