23 results
Approach to ECGs - VT vs. SVT - Wide Tachycardias
DDx = VT vs. SVT with BBB
All
DDx = VT vs. ... - Fusion beats ... #VT #VTach #SVT ... VentricularTachycardia #Versus #ecg ... #ekg #cardiology
Algorithm for the Evaluation of Regular, Wide-Complex Tachycardia
1. aVR: Is the initial deflection in aVR positive?
If yes, then VT. ... If yes, then VT. ... dissociation (fusion ... Interpretation #ECG ... #EKG #Electrocardiogram
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
Unexpected severe pericardial effusion in a patient with colon cancer and DVT. Never forget POCUS of
severe pericardial effusion ... colon cancer and DVT ... Never forget POCUS ... a patient with DVT ... CasasolaGarcia #Clinical #POCUS
Recurrent Polymorphic VT/Torsades de Pointes - Management Algorithm
Drugs that prolong QT interval:
 • Class 1a (quinidine,
Recurrent Polymorphic VT ... minutes • Adult infusion ... load: 25-50 mg/kg ... Load: 1-1.5 mg/kg ... • Infusion:
#ICUCard
RENAL
GFR
90-131
mL/min
((140-age)*Wt)/(72*Cr)
Glomerular Filtration Rate (Cockcroft)
CI Cr
90-131
mL/min
(CrU * volume)/CrS
Creatinine Clearance
FENa
0.0-1.0
%
((U/P Na)/(U/P Cr))*100
Fractional Excretion of Na+
Na req
mEq
(125-Na)*0.6*Wt
Required Sodium
FE Urea
PEEP < 5 cm H20 VT ... Shunt < 20% VD/VT ... ) IV Infusion: ... ) IV Infusion: ... ) IV Infusion:
Modified dengue severity classification, PAHO/WHO
Dengue without warning signs - DNWS:
 • Person who lives or has
and no apparent focus ... ascites, pleural effusion ... , pericardial effusion ... and capillary perfusion ... attending physician (e.g
Constrictive Pericarditis on Echocardiogram
A 55-year-old female marathon runner presents to clinic w/ 6-months of worsening breathlessness
had gained 15 kg ... circumferential pericardial effusion ... Echocardiogram #a4c #pocus
Large Pericardial Effusion on POCUS 

Good example of swinging heart in pre tamponade. Reason for electrical
Large Pericardial Effusion ... on POCUS Good ... in pericardial effusion ... EKG from same patient ... electrical #alternans #POCUS
Pediatric Trauma Primary Survey: C-ABCDE
C - Catastrophic Bleeding - Life-threatening hemorrhage
 • Apply direct pressure/compression bandage
Binder) • Use POCUS ... PRBCs 10-20 mL/kg ... load 15-30 mq/kg ... /hr IV infusion ... • Vaspressor infusion