23 results
Chest Pain - Diagnosis and Workup Algorithm

History and Exam
Acute life-threatening causes:
 • Acute myocardial infarction
 •
Diagnosis and Workup ... Pulmonary embolism • Cardiac ... • Esophageal rupture ... Initial workup ... : • EKG • Bedside
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 ... Ischemia #Ischaemia #Anesthesiology ... Diagnosis #Management #Workup
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Consider IL NS/LR infusion ... telemetry, 12-Lead EKG ... and Survey 4) Workup ... dilated IVC - Cardiac ... Cardiac surgery?
Cardiac Tamponade - Guidelines for Crises in Anaesthesia
Caused by an accumulation of blood, pus, effusion fluid
of blood, pus, effusion ... iatrogenic causes, e.g ... pericardiocentesis kit (eg ... #Tamponade #Anesthesiology ... Diagnosis #Management #Workup
Hypotension - Guidelines for Crises in Anaesthesia

Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
rate, rhythm, perfusion ... and positioning (e.g ... Endocrine cause (eg ... #Differential #Anesthesiology ... Diagnosis #Management #Workup
Intraoperative Circulatory Embolus - Guidelines for Crises in Anaesthesia
Causes: thrombus, fat, amniotic fluid, air/gas.
Signs: hypotension, tachycardia,
unexplained loss of cardiac ... Consider thrombolysis e.g ... over 2 h (>65 kg ... Embolism #VTE #Anesthesiology ... Diagnosis #Management #Workup
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia
• Unexplained hypotension
• Unexplained bronchospasm (wheeze may be absent
• Unexpected cardiac ... surgery. ❷ Call for cardiac ... alternate vasopressor (e.g ... #Anaphylaxis #Anesthesiology ... Diagnosis #Management #Workup
Neuroprotection following Cardiac Arrest - Guidelines for Crises in Anaesthesia
Outcome from cardiac arrest is determined by
Outcome from cardiac ... poor vital organ perfusion ... Obtain 12-lead ECG ... #Arrest #Anesthesiology ... Diagnosis #Management #Workup
Can’t Intubate, Can’t Oxygenate (CICO) - Guidelines for Crises in Anaesthesia
This is the last resort when
airway expertise e.g ... trolley and then cardiac ... Intubation #Difficult #Anesthesiology ... Diagnosis #Management #Workup
Management of Convulsive Status Epilepticus in children
Stabilization Phase (Seizure 0-5 minutes):
 • Check and maintain ABC
electrolytes, blood culture ... (max: 1000 mg) infusion ... 20 minutes with cardiac ... of 2 mcg/Kg/minute ... maximum of 24 mcg