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diagnosis differential endocarditis cardiogenic checklist chf heartfailure shock tachycardia treatment acute airway anatomy ards atrial cheatsheet clinical dcsi delivery detroit
Multifocal Atrial Tachycardia (MAT) • At least 3 different P wave morphologies: • Rate 100-180 • Irregular Etiology
• At least 3 different ... • Hypoxia • Pulmonary ... Tachycardia #MAT #Cardiology ... #Diagnosis #ECG ... #EKG #Management
Endocarditis checklist Initial evaluation • Peripheral blood cultures (three sets at three different sites) • Additional culture
endocarditis w/ septic pulmonary ... if suspected (e.g ... block (+/- daily EKG ... of infection (e.g ... Endocarditis #checklist #criticalcare
Mask Oxygen Delivery Devices Simple Mask aka Hudson's Mask: • Flow 6-10 LPM • FiO2 35-50% Face Tent:
Oxygen Delivery Devices ... tight-fitting mask (e.g ... sized to provide a different ... #management #pulmonary ... #criticalcare
Severe Heart Failure & Cardiogenic Shock - Management Checklist Evaluation - EKG & echocardiography
Evaluation - EKG ... Organ failure — device ... Nephrotoxins (e.g ... channel blocker (eg ... #HeartFailure #Cardiology
Acute Respiratory Distress Syndrome – ARDS: Clinical Cheat Sheet An acute diffuse, inflammatory lung injury, leading to
leading to increased pulmonary ... Berlin criteria ... consistent with pulmonary ... objective assessment“ (e.g ... #CriticalCare
Treatment of Stable Narrow-Complex Tachycardia Regular Rhythm: • Attempt vagal maneuvers • Give adenosine 6 milligrams IV
Control rate (e.g ... with caution in pulmonary ... Control rate (e.g ... Tachycardia #Treatment #management ... #cardiology #algorithm
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM INCLUSION CRITERIA Acute Myocardial Infarction  Ischemic Symptoms  EKG and/or biomarker evidence of AMI
SHOCK INITIATIVE ALGORITHM ... INCLUSION CRITERIA ... Ischemic Symptoms  EKG ... DCSI #Initiative #Management ... #Cardiology
Approach to Possible Hypertensive Emergency criteria required to diagnose hypertensive emergency (1) Severe hypertension - Usually a MAP
Hypertensive Emergency criteria ... hypertension (e.g ... - Pulmonary edema ... Emergency #Diagnosis #Algorithm ... #CriticalCare #
Endocarditis Summary Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV substance use • IV catheter • Recent
implantable electronic devices ... Cerebral > Splenic, pulmonary ... -> TEE • Duke Criteria ... ↑ ESR, CRP • EKG ... #cardiology
Preoperative Risk Evaluation Major Pre-Op Questions: 1. Does the patient have any modifiable risk factors that could be
Any implantable devices ... event, follow ACC algorithm ... indicated • EKG ... Obtain EKG if: ... one post op Cardiology
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