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This is the bedside Echo of a critically ill young lady who was transferred in profound
around in the right heart ... this Echo in this clinical ... diagnosis of Massive PE ... Ghali @EM_RESUS #Clinical ... #POCUS #Cardiac
Pericardial Tamponade
Beck's Triad 
1. Hypotension 
2. Jugular venous distension 
3. Muffled heart sounds 
Patient will be
Muffled heart sounds ... chest pain - PE ... will show muffled heart ... #Pericardial #Cardiac
Diagnostic Algorithm for Suspected Pulmonary Embolism

Well's Criteria for PE
 • Clinical Signs and Symptoms of DVT
Well's Criteria for PE ... • Clinical Signs ... less likely than PE ... -3 • Heart rate ... Previous DVT or PE
Cardiac Arrest - H's and T's

HYPOVOLEMIA 
HYPOXEMIA 
HYPERKALEMIA 
HYPOKALEMIA 
H+ EXCESS
HYPOTHERMIA 

TENSION PNEUMOTHORAX 
TAMPONADE - CARDIAC
Cardiac Arrest - ... TAMPONADE - CARDIAC ... THROMBOSIS - PE
Underlying causes of PEA arrest: H’s and T’s 

Hypovolemia, Hypoxia, Hydrogen Ion (acidosis), Hypo/Hyper-kalemia, Hypothermia
Toxins, Tamponade,
Pneumothorax, Thrombosis (heart ... lungs: massive PE
Hypertrophic Obstructive Cardiomyopathy: Heart Murmur
 • Occurs during systole 
 • Crescendo-decrescendo murmur
 • Heard best
Cardiomyopathy: Heart ... Crescendo-decrescendo murmur • Heard ... Cardiomyopathy #Heart ... #Murmur #Cardiac
Chest Pain - Diagnosis and Workup Algorithm

History and Exam
Acute life-threatening causes:
 • Acute myocardial infarction
 •
Pulmonary embolism • Cardiac ... Serial troponin; HEART ... Well score for PE
Intraoperative Cardiac Massage

Hanin Alashi, CCP @iNeena

#Intraoperative #Cardiac #Massage #CTS #thoracic #clinical #video #heart #surgery
Intraoperative Cardiac ... Intraoperative #Cardiac ... CTS #thoracic #clinical ... #video #heart #
Syncope in 3 Steps
1. Consider the 3 "S" Mimics: Seizure, low Sugar, Stroke (TIA)
2. Heart vs
Heart vs SVR Heart ... Pump > AS, HOCM, PE
Shock - Differential Diagnosis Framework
MAP = CO x SVR
Hypovolemic (↓ Intravascular volume):
 • Hemorrhage, dehydration due
Cardiogenic (Intra-cardiac ... failure): • Severe heart ... Obstructive (Extra-cardiac ... → tension PTX, cardiac ... tamponade, Vascular → PE