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cardiology checklist clinical echocardiogram ekg electrocardiogram fibrillation neurology pocus stroke ultrasound ventricular workup acutepe algorithm anesthesia anesthesiology bradyarrhythmia bradycardia cardiacarrest
Syncope - Differential Diagnosis Algorithm Neurocardiogenic: • Vasovagal • Orthostatic Hypotension • Autonomic Neuropathy • Situational (micturition,
Syncope - Differential ... • Pulmonary Embolism ... Tachyarrhythmia: • VT/VFib ... • AFib/AFlutter ... #causes
Approach to ECGs - Tachy/Bradyarrhythmias Tachyarrhythmias - HR > 100 Wide (1) VT - DANGER (2)
abberancy - N B Afib ... DANGER (4) Vfib ... Irregular (1) A fib ... bradyarrhythmia #ECG ... #EKG #diagnosis
EKG in Acute Pulmonary Embolism The sensitivity and specificity for EKG findings in acute PE are low. EKG
EKG in Acute Pulmonary ... evaluating for other causes ... ., A-Fib also a ... #EKG #Pulmonary ... #diagnosis #cardiology
Stroke Etiologies Hemorrhagic (IPH, SAH) Ischemic - Large Vessel Atherosclerosis - Cardioembolic: Atrial fib, prosthetic valves, LV aneurysm,
Cardioembolic: Atrial fib ... and paradoxical embolism ... , Occult a-fib ... #differential # ... diagnosis #neurology
How do you work up an ischemic CVA? A) Initial Evaluation • ABCs • IV access, monitor
Cardioembolic: • ECG ... +/- TEE (high Afib ... v Holter (r/o Afib ... No major-risk embolic ... stroke #workup #diagnosis
Palpitations - Differential Diagnosis Framework What? • It is an unpleasant awareness or sensation that the heart is
Palpitations - Differential ... exam • 12-lead ECG ... Valvular disease (e.g ... brain flow (VT/Vfib ... /Afib/WPW) • Loss
Ventricular Fibrillation on POCUS Echocardiogram - Parasternal Short Axis 50's male witnessed arrest. Unknown hx. AED no
Diagnosis? ... Fine Vfib can be ... PSSA from case- ... getting 12 lead ECG ... #Fibrillation #VFib
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 Ventricular Fibrillation on POCUS Echocardiogram - Subcostal 4 Chamber 50's male witnessed arrest. Unknown hx. AED no
Diagnosis? ... Fine Vfib can be ... PSSA from case- ... getting 12 lead ECG ... #Fibrillation #VFib
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 Cardiac Arrest - Guidelines for Crises in Anaesthesia The probable cause is one or more of: something
senior on-call / dial ... • Check ECG rhythm ... Anaphylaxis (→ 3-1) Embolism ... CardiacArrest #Checklist #Differential ... Intraoperative #Checklist #Diagnosis
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