18 results
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
gallop • Abnormal ECG ... , echocardiogram ... shock, sudden cardiac ... death Management ... #Cardiology
Approach to the Hypercoagulable State
Arterial thromboembolism
→ Cardiac rhythm monitoring, Echocardiogram, Vascular imaging
→ Test for APS, particularly
thromboembolism → Cardiac ... rhythm monitoring, Echocardiogram ... • Provoked (e.g ... - No other workup ... hematology #diagnosis #algorithm
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
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
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia

If the patient is unconscious, signs of cardiac
Intraoperative Cardiac ... CM5 continuous ECG ... consultation with cardiology ... Checklist #Diagnosis #Management ... #Workup
Cardiac Tamponade - Guidelines for Crises in Anaesthesia
Caused by an accumulation of blood, pus, effusion fluid
Cardiac Tamponade ... tamponade recurs. ❿ Plan ... definitive management ... specialist referral. ⓫ Plan ... #Workup
Malignant RV Mass on POCUS Echocardiogram (PLAX)
57yo M with chest pain.  Normal work up including
(PLAX) 57yo M with ... Normal work up including ... negative ECG, CXR ... #clinical #cardiology ... #PLAX
Intraoperative Sepsis - Guidelines for Crises in Anaesthesia

Severe sepsis (hypotension persisting after initial fluid challenge of
Consider monitoring cardiac ... cultures if possible (eg ... Discuss ongoing management ... plan with intensive ... #Workup
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia
• Unexplained hypotension
• Unexplained bronchospasm (wheeze may be absent
alternate vasopressor (e.g ... • Plan for repeat ... feasible (Box B). ⓭ Plan ... Checklist #Diagnosis #Management ... #Workup
Neuroprotection following Cardiac Arrest - Guidelines for Crises in Anaesthesia
Outcome from cardiac arrest is determined by
Obtain 12-lead ECG ... and discuss with cardiology ... develop (Box B). ❾ Plan ... further management ... #Workup