24 results
Multifocal Atrial Tachycardia (MAT)
• At least 3 different P wave morphologies: 
• Rate 100-180
• Irregular 
Etiology
• At least 3 different ... • Hypoxia • Pulmonary ... • Oxygen • Treatment ... Tachycardia #MAT #Cardiology ... #EKG #Management
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
Ischemic Symptoms  EKG ... evidence of AMI (STEMI ... ACTIVATE CATH LAB ... DCSI #Initiative #Management ... #Cardiology
Hyperkalemia EKG - K of 8.5

Here’s an #ECG of a man with ROSC after cardiac arrest

Computer
Hyperkalemia EKG ... with ROSC after cardiac ... Computer is calling STEMI ... classic “Pseudo-STEMI ... #Cardiology #Clinical
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
sets at three different ... endocarditis w/ septic pulmonary ... • Myocardial abscess ... • Aggressive management ... Internet Book of Critical
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Diagnosis and Management ... Establish IV/IO Access ... EKG • Ensure ... Tamponade - Pulmonary ... #criticalcare #treatment
Lung Abscess - Diagnosis and Management Summary

Lung Abscess Etiology:
 • Necrosis of lung parenchyma by a
and Management ... Lung Abscess - Clinical ... CXR upright or lat ... • Vasculitis (e.g ... #pulmonary #differential
Myocarditis 

5 Principles of
Myocarditis:
1. Build clinical suspicion
2. Decide on EMBx
3. Manage acute cardiac injury
4. Manage chronic
Manage acute cardiac ... Pericarditis, Tamponade EKG ... Low voltage Treatment ... Myocarditis #diagnosis #management ... #cardiology #summary
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Cerebral > Splenic, pulmonary ... occlusion that may lead ... ↑ ESR, CRP • EKG ... Endocarditis #diagnosis #management ... #cardiology
Algorithm for Management of Acute Exacerbation of COPD (AECOPD)

Obtain workup for alternate diagnoses and relevant comorbidities:
Algorithm for Management ... doppler, CTA • ECG ... of AECOPD: • Clinical ... #Exacerbation #treatment ... #pulmonary
Candidemia Workup and Management - IDSA Guidelines
1) Antibiotics
 • Empiric: Echinocandins (e.g. micafungin) for most patients
Candidemia Workup and Management ... Echinocandins (e.g ... involvement • Cardiac ... or TEE unless clinical ... #candidiasis #treatment