13 results
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 ... ACTIVATE CATH LAB ... DCSI #Initiative #Management ... #Cardiology
There is inferior ST elevation with reciprocal ST depression in aVL and  in lead I,
depression in aVL and ... in lead I, very ... suggestive of STEMI ... #Clinical #EM #Cardiology ... #EKG #STEMI #Inferior
Mallet Finger
Absence of a fracture does NOT exclude Mallet finger, the extension function of the DIP
joint needs to be clinically ... injury with axial load ... MH/CCF/CWRU EM ... #XRay #Diagnosis ... #Management #Hand
Supracondylar Elbow Fracture
• Most common elbow fracture in children, peak age 5-7 
• When looking at
posterior fat pad ... onto outstretched hand ... MH/CCF/CWRU EM ... #XRay #Diagnosis ... #Management #Orthopedics
Scaphoid Fractures
The scaphoid is the most commonly fractured carpal bone. Remember, if a fracture is suspected
onto outstretched hand ... MH/CCF/CWRU EM ... Wrist #Carpal #Radiology ... #XRay #Diagnosis ... #Management #Orthopedics
RADIAL HEAD FRACTURE 
Radial head fractures are the most common elbow fracture in adults and are
posterior fat pad ... onto outstretched hand ... MH/CCF/CWRU EM ... #XRay #Diagnosis ... #Management #Orthopedics
Interphalangeal Joint Dislocation
Interphalangeal joint dislocations almost always occur dorsally, look for associated avulsion fractures! Here's a
injury with axial load ... MH/CCF/CWRU EM ... #XRay #Diagnosis ... #Management #Hand ... #Orthopedics #MSK
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
ECG is vital while ... lab markers such ... pump, Impella, LVAD ... #algorithm #management ... #cardiology #treatment
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
event, follow ACC algorithm ... Change in clinical ... one post op Cardiology ... surgical management ... stratification #diagnosis
Perhaps quite too often, the knee-jerk reaction to an elevated Troponin is to call our friends
our friends from Cardiology ... Cardiology cannot ... patients with CAD ... #diagnosis #algorithm ... #management #clinical