24 results
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
gallop • Abnormal ECG ... , echocardiogram ... shock, sudden cardiac ... death Management ... #Cardiology
Myocarditis 

5 Principles of
Myocarditis:
1. Build clinical suspicion
2. Decide on EMBx
3. Manage acute cardiac injury
4. Manage chronic
Manage acute cardiac ... Pericarditis, Tamponade EKG ... Low voltage Treatment ... Myocarditis #diagnosis #management ... #cardiology #summary
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
SHOCK INITIATIVE ALGORITHM ... Ischemic Symptoms  EKG ... Fick calculated cardiac ... DCSI #Initiative #Management ... #Cardiology
STAGES of CHF (A, B, C, D), however, describe the severity of structural abnormalities that impair
sometimes advanced treatment ... Treatments may include ... : cardiac resynchronization ... #Management #Cardiology ... Stages #ACCAHA #Algorithm
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Pneumothorax, Cardiac ... Dehydration Shock Treatment ... ) UOP > 0.5 cc/kg ... #criticalcare #algorithm ... #treatment #management
Emergent Hyperkalemia Treatment Algorithm
ECG changes, weakness, K+ >6.5 Or renal insufficiency with K >5.5 with cellular
Emergent Hyperkalemia Treatment ... Algorithm ECG ... injury, etc) ECG ... Calcium - Stabilizes cardiac ... #Algorithm #Management
Candidemia Workup and Management - IDSA Guidelines
1) Antibiotics
 • Empiric: Echinocandins (e.g. micafungin) for most patients
Candidemia Workup and Management ... Echinocandins (e.g ... involvement • Cardiac ... Consider: Spine, CNS ... #candidiasis #treatment
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
Treatment of Stable ... Control rate (e.g ... #Tachycardia #Treatment ... #management #cardiology ... #algorithm
Treatment of Stable Wide-Complex Tachycardia
Regular
 • If ventricular tachycardia or uncertain rhythm:
    -
Treatment of Stable ... nodal agents (e.g ... #Tachycardia #Treatment ... #management #cardiology ... #algorithm
Cardiac Tamponade - Guidelines for Crises in Anaesthesia
Caused by an accumulation of blood, pus, effusion fluid
Cardiac Tamponade ... thoracotomy is a better treatment ... tamponade recurs. ❿ Plan ... definitive management ... specialist referral. ⓫ Plan