42 results
Multifocal Atrial Tachycardia (MAT)
• At least 3 different P wave morphologies: 
• Rate 100-180
• Irregular 
Etiology
Multifocal Atrial ... disease (COPD) • Hypoxia ... • Pulmonary hypertension ... Cardiology #Diagnosis #ECG ... #EKG #Management
EKG in Acute Pulmonary Embolism
The sensitivity and specificity for EKG findings in acute PE are low.
EKG
EKG in Acute Pulmonary ... specificity for EKG ... EKG is helpful in ... in relation to ECG ... #EKG #Pulmonary
Hypoxia and Hypoxemia - Overview
Hypoxia - insufficient oxygen delivered to tissues to meet demands
Hypoxemia - low
(e.g low cardiac ... carrying capacity (e.g ... abnormal hemoglobin (e.g ... cannot use oxygen (e.g ... #pulmonary #differential
Hypoxemia / Hypoxia - Rapid Response Management Algorithm

Stridor - Upper airway pathology:
 • Anaphylaxis
 • Foreign
Rapid Response Management ... Extrinsic compression (e.g ... CNS depression (e.g ... Neuromuscular disorders (e.g ... wall compliance (e.g
Management Algorithm for Confusion
- Substrate verification, glucose, oxygen checks
- Toxidrome present
- Focal findings on neurologic examination
-
Management Algorithm ... Focal findings on neurologic ... electrolytes, CXR, ECG ... (might include cranial ... AlteredMentalStatus #Delirium #Management
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 ... with caution in pulmonary ... Tachycardia #Treatment #management
Hypoxemic Respiratory Failure - Differential Diagnosis Framework
DECREASED INSPIRED OXYGEN
 • Low PATM Can decrease first part
High altitude (eg ... respiratory drive due to neurologic ... Intrapulmonary shunting (eg ... intracardiac shunting (eg ... , atrial or ventricular
Large Mobile Left Atrial Thrombus on Transesophageal Echocardiogram

Female, 78 yo. HT & DM2. Admitted for severe
Large Mobile Left Atrial ... Transesophageal Echocardiogram ... ECG: AF. ... CHA2DS2VASc: 5. ... @odremanr #Atrial
Clinical Management for Three Common Causes of Shock 
HEMORRHAGIC SHOCK
 • Ensure adequate ventilation and oxygenation.
when possible (eg ... dysrhythmias (eg ... , atrial fibrillation ... pressure (PEEP) for pulmonary ... reverse the insult (eg
Stiff Person Syndrome (SPS) - Diagnosis and Management Summary

Epidemiology:
 • Prevalence: 1-2 cases per million -
rigidity, spasm - axial ... - Stiffness in axial ... unit activity on EMG ... of diazepam • EMG ... TPO, TTG, etc EMG