16 results
Evaluation of Electrical Injury in the Emergency Department 

Common Injuries by System:

CNS - Seizure, coma, spinal
Injuries by System: CNS ... high voltage Cardiac ... - Vfib/asystole ... immediate, prior to ED arrival ... Electrical #Injury #Electrocution
Atrial Fibrillation (A-Fib) Summary

Symptoms:
• Palpitations, light-headedness, dizziness, dyspnea, exercise intolerance, chest pain, near-syncope, syncope.

Why?
Cardiac:
	• Valvular heart
Cardiac: • Valvular ... TSH level (< 5% pts ... with afibb) • ... #Fibrillation #AFib ... diagnosis #management #cardiology
Double Apical Impulse (S4) Visualization on Physical Exam - Hi-Res Video Version: https://www.grepmed.com/images/7802/physicalexam-cardiology-impulse-double-gallop-apical-signs

On palpation, the PMI
Exam - Hi-Res Video ... www.grepmed.com/images/7802/physicalexam-cardiology-impulse-double-gallop-apical-signs ... movement of the cardiac ... on cardiac auscultation ... ventricle during atrial
Severe Tricuspid Regurgitation on JVP Examination

What information about the patient do we get from this #JVP
Cardiac rhythm? ... Underlying structural heart ... Lancisis #Sign #JVP #PhysicalExam ... #Clinical #Video ... #Cardiology
Toaster Electrocution Electrical Injury
Primary determination of injury extent = amount of CURRENT flowing through body.
VARIABLES: voltage,
CARDIAC: asytole ... IMMEDIATELY: cardiac ... with those in cardiac ... EKG, labs, cardiac ... of significant cardiac
Lancisi's Sign (Tricuspid Regurgitation) in a patient with Atrial Fibrillation

If you went to med school before
a patient with Atrial ... finger on the pts ... Fibrillation #Neck #JVP #Clinical ... #Video #AFib #PhysicalExam ... #Cardiology
Ventricular Fibrillation on POCUS - Apical 4 Chamber View

A 50-year-old woman with a history of cardiac
with a history of cardiac ... the transplanted heart ... with preserved atrial ... echocardiogram #cardiology ... #clinical #a4c
Cannon A Waves on Neck Examination

Cannon a waves! Notice that it occurs randomly, not predictably w/
predictably w/ the cardiac ... for DDI and an atrial ... #AWaves #Neck #PhysicalExam ... #JVP #Clinical ... #Video #Cardiology
Lightning Strike Electrical Injury
Types of Lightning Strikes: Direct, Side Splash, Contact injury, Ground current
ELECTRICAL INJURIES: Primary
CARDIAC: asytole ... most common is Afib ... CNS- stroke, seizure ... Electrical #Injury #clinical ... #video #NSFW #Electrocution
Kussmaul's Sign on Neck Physical Examination

Elderly woman with a history of myocardial revascularization surgery is hospitalized
hospitalized for heart ... patients after cardiac ... Kussmauls #Sign #PhysicalExam ... #Video #Clinical ... #Neck #Veins #Cardiology