16 results
Pacemaker Evaluation Algorithm by Lorne Costello

#Diagnosis #ECG #EKG #Pacemaker #Evaluation #Algorithm #PPM
Pacemaker Evaluation ... Algorithm by Lorne ... #Diagnosis #ECG ... #EKG #Pacemaker ... #Evaluation #Algorithm
Bradycardia
1) First Steps: IV, O2, Monitors, ECG, Pads on patient, Crash Cart in room. Is patient
O2, Monitors, ECG ... Chest Pain • ECG ... Connect ECG Leads ... Set pacemaker to ... Start pacing.
Overall schema for resuscitation of the bradycardic periarresting patient
A patient with bradycardic periarrest may be rescued
medical therapy (e.g ... electrical therapy (e.g ... transcutaneous pacing ... Bradycardic #PeriArrest #Algorithm
Cardiac Stress Testing
Exercise:
 • Everyone who can exercise should!
 • They must be able to raise
• They must be able ... heartblock w/o pacemaker ... arrythmias Diagnostics: EKG
Pediatric SVT - Management Algorithm
Identify SVT:
 • HR not variable
 • Abrupt rate changes
 • Infants:
SVT - Management Algorithm ... : HR > 180bpm ECG ... Monitors, Pads AP Stable ... tachycardia #Management #Algorithm
Recurrent Polymorphic VT/Torsades de Pointes - Management Algorithm
Drugs that prolong QT interval:
 • Class 1a (quinidine,
Pointes - Management Algorithm ... • Adult: 0.5-5 mcg ... Pediatric: 0.1-1 mcg ... • Overdrive pacing ... TDP #Management #Algorithm
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
Treatment of Stable ... Control rate (e.g ... Control rate (e.g ... underlying cause #Stable ... management #cardiology #algorithm
Treatment of Stable Wide-Complex Tachycardia
Regular
 • If ventricular tachycardia or uncertain rhythm:
    -
Treatment of Stable ... nodal agents (e.g ... irregular protocol #Stable ... management #cardiology #algorithm
Intraoperative Thompson Test - Assessing the Achilles’ tendon following a surgical repair for rupture. The calf
with their feet hanging ... the examination table ... patients may be able ... accessory muscles (eg
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
metabolic equivalent able ... event, follow ACC algorithm ... indicated • EKG ... Obtain EKG if: ... Stable patients