18 results
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 ... cardionerds #EKG ... #EKG #Pulmonary
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 ... management #cardiology #algorithm
Large Mobile Left Atrial Thrombus on Transesophageal Echocardiogram

Female, 78 yo. HT & DM2. Admitted for severe
Transesophageal Echocardiogram ... ECG: AF. ... CHA2DS2VASc: 5. ... @odremanr #Atrial ... Mobile #LA #TEE #Echocardiogram
Chest Pain - Diagnosis and Workup Algorithm

History and Exam
Acute life-threatening causes:
 • Acute myocardial infarction
 •
Diagnosis and Workup Algorithm ... Pneumothorax • Pulmonary ... Initial workup: • EKG ... , PT. aPTT • Serial ... Pain #Diagnosis #Algorithm
Palpitations - Differential Diagnosis Framework

What?
• It is an unpleasant awareness or sensation that the heart is
exam • 12-lead ECG ... Valvular disease (e.g ... Pheochromocytoma • Pulmonary ... palpitations: PVC • Gradual ... /Afib/WPW) • Loss
Approach to the Hypercoagulable State
Arterial thromboembolism
→ Cardiac rhythm monitoring, Echocardiogram, Vascular imaging
→ Test for APS, particularly
Hypercoagulable State Arterial ... rhythm monitoring, Echocardiogram ... risk actor for arterial ... • Provoked (e.g ... hematology #diagnosis #algorithm
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
Approach to Selecting Respiratory Support:
-The role of noninvasive respiratory support is generally to reduce the patient's
-Serial evaluation ... patient's diagnosis (e.g ... #Management #CriticalCare ... RespiratorySupport #Selection #Algorithm
Extracorporeal Membrane Oxygenation (ECMO) - Basics
Mode of cardiopulmonary support used to treat pulmonary and/or cardiovascular failure
used to treat pulmonary ... Suppots lungs (pulmonary ... /min): • Dial in ... Assess perfusion (eg ... #criticalcare
Mask Oxygen Delivery Devices

Simple Mask aka Hudson's Mask:
 • Flow 6-10 LPM
 • FiO2 35-50%
Face Tent:
tight-fitting mask (e.g ... . facial trauma, ... • FiO2 24-60% Partial ... Devices #management #pulmonary ... #criticalcare