41 results
Atrial Fibrillation and WPW - Pre-Excitation AFib
In pre-excitation + a-fib with RVR:
 • All AV nodal
Pre-Excitation AFib ... threshold for electrical ... #Fibrillation #AFib ... PreExcitation #clinical ... #ecg #ekg #electrocardiogram
Electrical Alternans on POCUS Echocardiogram
You dissect the EKG and note low voltage tachycardia with a hint
Electrical Alternans ... on POCUS Echocardiogram ... You dissect the EKG ... Alternans #POCUS #Echocardiogram ... #clinical #effusion
Toaster Electrocution Electrical Injury
Primary determination of injury extent = amount of CURRENT flowing through body.
VARIABLES: voltage,
EKG, labs, cardiac ... patients with normal ECG ... if symptomatic (e.g ... severe burns, ECG ... Abnormal ECG or
Point of Care Transesophageal Echocardiogram during Cardiac Arrest

POC-TEE in cardiac arrest: Instant recognition of shockable rhythm
Transesophageal Echocardiogram ... a pulse check (ECG ... cardiacarrest #acls #echocardiogram ... #clinical #ultrasound ... transesophageal #vfib
TypeA Aortic Dissection on POCUS Echocardiogram

80yo F presents with CP&SOB after syncope. BP 91/62, HR81, O2sat
Dissection on POCUS Echocardiogram ... EKG: afib, twi I ... #Aorta #POCUS #Echocardiogram ... #Clinical #Ultrasound
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
if suspected (e.g ... block (+/- daily EKG ... of infection (e.g ... Internet Book of Critical ... Endocarditis #checklist #criticalcare
Short axis of this echo is mesmerizing: Malignant effusion in a young pt. Notice subtle electrical
Short axis of this ... Notice subtle electrical ... alternans on the ECG ... PericardialEffusion #Clinical ... #POCUS #Echocardiogram
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) ... #CriticalCare
Large Pericardial Effusion on POCUS 

Good example of swinging heart in pre tamponade. Reason for electrical
Reason for electrical ... EKG from same patient ... Effusion #swinging #electrical ... alternans #POCUS #Echocardiogram ... #A4C #Clinical
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
performed) • Clinical ... Cardiovascular MRI Clinical ... gallop • Abnormal ECG ... , echocardiogram ... cardiac death Management