69 results
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 ... #Clinical
Point of Care Transesophageal Echocardiogram during Cardiac Arrest

POC-TEE in cardiac arrest: Instant recognition of shockable rhythm
Arrest POC-TEE ... a pulse check (ECG ... echocardiogram #clinical ... ultrasound #pocus #tee ... transesophageal #vfib
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
Echocardiography (TTE +/- TEE ... if suspected (e.g ... block (+/- daily EKG ... of infection (e.g ... Endocarditis #checklist #criticalcare
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 #CriticalCare
Pisa Syndrome (pleurothotonus) on Physical Exam
A tonic flexion of the trunk of the body to one
by: - drugs (e.g ... neurodegenerative disorders (eg ... Treatment: anticholinergics ... #PhysicalExam #clinical ... #neurology #posture
How do you work up an ischemic CVA?
A) Initial Evaluation
 • ABCs
 • IV access, monitor
penumbra) • Can be ... Cardioembolic: • ECG ... (high Afib suspicion ... v Holter (r/o Afib ... diagnosis #checklist #neurology
Syncope is a sudden, transient loss of consciousness, which is thought to be secondary to cerebral
is thought to be ... cardiac syncope, e.g ... and an initial ECG ... guided by clinical ... The treatment strategy
Overview of approach to brain death

Pursuing a diagnosis of brain death too early may lead to
evaluation should be ... brain activity on neurologic ... with brain death (e.g ... with brain death (e.g ... #Diagnosis #CriticalCare
Navigating a Rapid Response Team (RRT)

Assert Leadership:
 • Stand at foot of bed
 • Introduce yourself
Stand at foot of bed ... EKG. ... Orders placed, treatments ... RRT #Management #treatment ... #criticalcare
Checklist for Treatment of Delirium in the ICU 

Remove causative factors 
 - 
Exclude hypoglycemia if
Checklist for Treatment ... interruption (e.g ... in the night (e.g ... dexmedetomidine - May be ... #MICU #CriticalCare