16 results
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
and Management ... telemetry, 12-Lead EKG ... and Survey 4) Workup ... Cardiac surgery? ... #Summary #criticalcare
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
gallop • Abnormal ECG ... • Cardiogenic shock ... , sudden cardiac ... death Management ... #Cardiology
Clinical Management for Three Common Causes of Shock 
HEMORRHAGIC SHOCK
 • Ensure adequate ventilation and oxygenation.
when possible (eg ... dysrhythmias (eg ... reverse the insult (eg ... #Shock #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
Myocarditis 

5 Principles of
Myocarditis:
1. Build clinical suspicion
2. Decide on EMBx
3. Manage acute cardiac injury
4. Manage chronic
Manage acute cardiac ... HF, Cardiogenic shock ... Pericarditis, Tamponade EKG ... Myocarditis #diagnosis #management ... #cardiology #summary
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
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia

If the patient is unconscious, signs of cardiac
trolley and 12-lead ECG ... CM5 continuous ECG ... Obtain a 12-lead ECG ... consultation with cardiology ... #Workup
Intra-Aortic Balloon Pump (IABP)

Intra-aortic balloon counter-pulsation is a method of invasive hemodynamic support. A catheter is
sync with the cardiac ... • Triggers (EKG ... Pump #diagnosis #management ... #cardiology #criticalcare
Peripartum Cardiomyopathy - Summary
1. Definition
 • Towards the end of pregnancy to 5 months postpartum
cardiomyopathy (e.g ... Pts: cardiogenic shock ... hemodynamics (e.g ... LVEF recovery (e.g ... teratogenic GDMT meds (e.g