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diagnosis cardiology anesthesia anesthesiology criticalcare differential workup intraoperative algorithm endocarditis arrest bradycardia cad cardiac cardiacarrest causes chf cooling coronavirus covid19
Osborn (J Wave) Etiology • Hypothermia (below 320C / SOOF) • Normal variant • Hypercalcemia • Neurological
Normal variant • Hypercalcemia ... fibrillation Clinical ... No prognostic value ... #Differential #Cardiology ... #EKG #ECG #Hypothermia
Checklist Approach to Hypokalemia Consider risk factors for arrhythmia: - EKG changes (especially QT prolongation) - Digoxin
arrhythmia: - EKG ... their validity (e.g ... incongruous with clinical ... context & EKG) ... #Hypokalemia #Management
Endocarditis checklist Initial evaluation • Peripheral blood cultures (three sets at three different sites) • Additional culture
Endocarditis checklist ... if suspected (e.g ... consultation • Valve ... block (+/- daily EKG ... of infection (e.g
COVID-19 Intubation Checklist Personal protective equipment (PPE) • Standard PPE • N95 or PAPR.
-19 Intubation Checklist ... dose paralytic (e.g ... Internet Book of Critical ... COVID19 #Intubation #Checklist ... #SARSCoV2 #Management
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia If prolonged or ≥ 39 C this is a
39 C this is a clinical ... Surgical devices, e.g ... Sepsis (→ 3-14) e.g ... malignant syndrome (e.g ... #Diagnosis #Management
Intraoperative Bradycardia - Guidelines for Crises in Anaesthesia Bradycardia in theatre should not be treated as
system including valves ... known drug causes (eg ... myocardial infarction, hyperkalaemia ... Intraoperative #Checklist ... #Diagnosis #Management
Cardiac Arrest - Guidelines for Crises in Anaesthesia The probable cause is one or more of: something
breathing system valves ... • Check ECG rhythm ... Hypovolaemia Hypo/hyperkalaemia ... CardiacArrest #Checklist ... #Diagnosis #Management
Endocarditis Summary Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV substance use • IV catheter • Recent
• Prosthetic valve ... -> TEE • Duke Criteria ... ↑ ESR, CRP • EKG ... Endocarditis #diagnosis #management ... #cardiology
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
just simply a clinical ... include Crackles/Rales ... ECG is vital while ... differential #algorithm #management ... #cardiology #treatment
Neuroprotection following Cardiac Arrest - Guidelines for Crises in Anaesthesia Outcome from cardiac arrest is determined by
Obtain 12-lead ECG ... ❾ Plan further management ... in critical care ... Intraoperative #Checklist ... #Diagnosis #Management
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