47 results
Accelerated Idioventricular Rhythm (AIVR) on EKG
 • Regular rhythm with wide. 
 • QRS complexes >120
Rhythm (AIVR) on EKG ... Ventricular origin • Capture ... and fusion beats ... diagnosis #cardiology #EKG ... #ECG #Electrocardiogram
Chest Pain - Diagnosis and Workup Algorithm

History and Exam
Acute life-threatening causes:
 • Acute myocardial infarction
 •
Diagnosis and Workup ... • Esophageal rupture ... Initial workup ... : • EKG • Bedside ... Diagnosis #Algorithm #workup
Algorithm for the Evaluation of Regular, Wide-Complex Tachycardia
1. aVR: Is the initial deflection in aVR positive?
dissociation (fusion ... or capture beats ... Interpretation #ECG ... #EKG #Electrocardiogram
Clinical Management for Three Common Causes of Shock 
HEMORRHAGIC SHOCK
 • Ensure adequate ventilation and oxygenation.
when possible (eg ... dysrhythmias (eg ... Ameliorate increased work ... reverse the insult (eg ... oxygenation; remove work
Electrical Alternans on POCUS Echocardiogram
You dissect the EKG and note low voltage tachycardia with a hint
Electrical Alternans on POCUS ... You dissect the EKG ... POCUS ECHO performed ... Electrical #Alternans #POCUS ... Echocardiogram #clinical #effusion
Approach to ECGs - VT vs. SVT - Wide Tachycardias
DDx = VT vs. SVT with BBB
All
Approach to ECGs ... different rates) - Capture ... - Fusion beats ... VentricularTachycardia #Versus #ecg ... #ekg #cardiology
Modified Sgarbossa Criteria - Diagnostic Checklist for diagnosing MI in LBBB or Pacemaker
1) Identify LBBB or
2ms spike - Fusion ... fusing - Capture ... Diagnosis #Checklist #EKG ... electrocardiogram #ecg
Algorithm for Management of Acute Exacerbation of COPD (AECOPD)

Obtain workup for alternate diagnoses and relevant comorbidities:
AECOPD) Obtain workup ... gram stain and culture ... doppler, CTA • ECG
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 ... criticalcare #treatment #workup
Recurrent Polymorphic VT/Torsades de Pointes - Management Algorithm
Drugs that prolong QT interval:
 • Class 1a (quinidine,
load: 25-50 mg/kg ... • Prevents future ... • Adult: 0.5-5 mcg ... Load: 1-1.5 mg/kg ... • Infusion: