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diagnosis differential algorithm checklist cardiogenic chf clinical endocarditis foamed heartfailure myocarditis summary balloon biopsy bradycardia cardiomyopathy classification complexes dcsi detroit
Aortic Dissection Pearls Aortic dissection is caused by a tear in the tunica intima, the innermost layer
tissue disorder e.g ... disease • Cardiac ... deficit • Shock ... Treatment - ED ... blood pressure: e.g
Intra-Aortic Balloon Pump (IABP) Intra-aortic balloon counter-pulsation is a method of invasive hemodynamic support. A catheter is
Intra-Aortic Balloon ... sync with the cardiac ... • Triggers (EKG ... Pump #diagnosis #management ... #cardiology #criticalcare
Shock - Diagnosis and Management Summary • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
and Management ... telemetry, 12-Lead EKG ... Cardiac surgery? ... #Summary #criticalcare ... #treatment #workup
Myocarditis Diagnosis • Endomyocardial biopsy (gold standard, rarely performed) • Clinical presentation • Cardiovascular MRI Clinical •
gallop • Abnormal ECG ... • Cardiogenic shock ... , sudden cardiac ... death Management ... #Cardiology
Shock - Differential Diagnosis Framework - MAP <65. SBP <90, drop in SBP > 40 -
Pneumothorax, Cardiac ... Treatment Goals ... ) UOP > 0.5 cc/kg ... Differential #Diagnosis #criticalcare ... #management
Myocarditis 5 Principles of Myocarditis: 1. Build clinical suspicion 2. Decide on EMBx 3. Manage acute cardiac injury 4. Manage chronic
HF, Cardiogenic shock ... Pericarditis, Tamponade EKG ... Low voltage Treatment ... Myocarditis #diagnosis #management ... #cardiology #summary
Shock Types - Classification State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
Mechanical → severe aortic ... acute valvular rupture ... pneumothorax, cardiac ... types #diagnosis #management ... #criticalcare #
Bradycardia 1) First Steps: IV, O2, Monitors, ECG, Pads on patient, Crash Cart in room. Is patient
O2, Monitors, ECG ... brady, Signs of Shock ... Chest Pain • ECG ... Connect ECG Leads ... #cardiology
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM INCLUSION CRITERIA Acute Myocardial Infarction  Ischemic Symptoms  EKG and/or biomarker evidence of AMI
Ischemic Symptoms  EKG ... Fick calculated cardiac ... IF LVEDP >15 or Cardiac ... DCSI #Initiative #Management ... #Cardiology
Checklist Approach to Hypokalemia Consider risk factors for arrhythmia: - EKG changes (especially QT prolongation) - Digoxin
arrhythmia: - EKG ... their validity (e.g ... clinical context & EKG ... NPO, or profound shock ... #CriticalCare
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