16 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
Osborn waves - positive deflections at the J point (negative in aVR and V1) with a
This EKG was recorded ... #EKG #EmergencyMedicine ... #Cardiology #diagnosis ... #CriticalCare # ... Electrocardiogram #ECG
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
Multifocal (or multiform) atrial tachycardia (MAT) is an abnormal heart rhythm, specifically a type of supraventricular
atrial tachycardia (MAT ... chronic obstructive pulmonary ... When a number of different ... #Clinical #MedStudent ... #EKG #MAT #MultifocalAtrialTachycardia
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
Treatment of Stable ... Control rate (e.g ... atrial flutter or MAT ... Control rate (e.g ... #management #cardiology
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Evaluation - EKG ... Revascularization, treatment ... Nephrotoxins (e.g ... channel blocker (eg ... #HeartFailure #Cardiology
Premature Ventricular Complexes (PVC's) - Summary Framework

Why PVCs?  Can be the first manifestation of cardiac
arrhythmia syndromes (e.g ... Hypomagnesemia • Hypokalemia ... 300 = NSVT EKG ... more intensive treatment ... #differential #cardiology
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
SBP drop >40, MAP ... telemetry, 12-Lead EKG ... Tamponade - Pulmonary ... Management #Summary #criticalcare ... #treatment #workup
Mask Oxygen Delivery Devices

Simple Mask aka Hudson's Mask:
 • Flow 6-10 LPM
 • FiO2 35-50%
Face Tent:
loose fitting & may ... tight-fitting mask (e.g ... sized to provide a different ... Devices #management #pulmonary ... #criticalcare
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
QRS complex Pulmonary ... Disorders: • Hyperkalemia ... no P waves • Hypercalcemia ... differential #diagnosis #cardiology ... #ecg #ekg #electrocardiogram