23 results
Multifocal Atrial Tachycardia (MAT)
• At least 3 different P wave morphologies: 
• Rate 100-180
• Irregular 
Etiology
different P wave ... • Hypoxia • Pulmonary ... • Oxygen • Treatment ... #Cardiology #Diagnosis ... #ECG #EKG #Management
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
Treatment of Stable ... disease or CHF) ... atrial flutter or MAT ... disease or CHF) ... #management #cardiology
Acute Respiratory Distress Syndrome – ARDS: Clinical Cheat Sheet

An acute diffuse, inflammatory lung injury, leading to
leading to increased pulmonary ... consistent with pulmonary ... present; they may ... objective assessment“ (e.g ... #CriticalCare
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Decompensated CHF ... • Obstructive: Pulmonary ... ) UOP > 0.5 cc/kg ... Differential #Diagnosis #criticalcare ... #management
TRALI vs TACO - Transfusion Reactions
TRALI:
 • Epidemiology: 0.1% of transfused patientsl
 • Risk factors: Critical
other cause of ARDS ... : 33% • Treatment ... : Age>60, CKD, CHF ... , and CXR with pulmonary ... hematology #diagnosis #comparison
Heart Failure with Preserved Ejection Fraction: Management Principles

General Therapeutic Principles:
Reduce the congestive state 
 - Caution
Ejection Fraction: Management ... hypertension, pulmonary ... ineffective) #Management ... #Cardiology #HFpEF ... #Treatment #HeartFailure
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Cardiogenic Shock - Management ... Revascularization, treatment ... #Checklist #CHF ... #HeartFailure #Cardiology ... #Management
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
cultures (three sets at ... three different ... endocarditis w/ septic pulmonary ... block (+/- daily EKG ... Endocarditis #checklist #criticalcare
Pulmonary Embolism Treatment
Systemic Thrombolysis
 - Exclude contraindications.
 - Indications:
   - Massive PE (definite indication)
Pulmonary Embolism ... Treatment Systemic ... Low dose 0.5 mg/kg ... #AcutePE #Management ... #CriticalCare
In ARDS, we know that the lungs are so diffusely injured that the remaining total area
In ARDS, we know ... realize that in ARDS ... Baby Lungs” with different ... pathophysiology #diagnosis #management ... criticalcare #treatment