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anesthesia anesthesiology workup intraoperative cardiology ecg electrocardiogram cardiac equivalents ischemia neurology airway anaphylaxis arteritis block cardiacarrest central criticalcare elevation embolism
Approach to ECGs - Ischemia MI = Biomarkers + ECG or echo/angiogram findings Pathologic Q - 1/3 height
= Biomarkers + ECG ... Equivalents / Don't Miss Signs ... bigger than QRS - deWinter ... #EKG #diagnosis ... Interpretation #differential
STEMI Equivalents on ECG • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
J point • De Winter ... V2 • Wellens sign ... pain • Wellens sign ... #EKG #diagnosis ... #differential #
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia If prolonged or ≥ 39 C this is a
Guidelines for Crises ... (late sign) (→ ... Guidelines for crises ... #Anesthesia #Checklist ... #Diagnosis #Management
Causes of ST Segment Elevation - Differential Diagnosis Framework STEMI: • Upsloping convex STE: "Pardee's sign" +
Causes of ST Segment ... Elevation - Differential ... Diagnosis Framework ... STEMI: • Upsloping ... STE: "Pardee's sign
Cardiac Tamponade - Guidelines for Crises in Anaesthesia Caused by an accumulation of blood, pus, effusion fluid
Guidelines for Crises ... examination and vital signs ... Guidelines for crises ... Intraoperative #Checklist ... #Diagnosis #Management
Intraoperative Circulatory Embolus - Guidelines for Crises in Anaesthesia Causes: thrombus, fat, amniotic fluid, air/gas. Signs: hypotension, tachycardia,
Guidelines for Crises ... Signs: hypotension ... Guidelines for crises ... Intraoperative #Checklist ... #Diagnosis #Management
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
Guidelines for Crises ... is unconscious, signs ... Guidelines for crises ... Intraoperative #Checklist ... #Diagnosis #Management
Hypotension - Guidelines for Crises in Anaesthesia Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
Guidelines for Crises ... Guidelines for crises ... #Hypotension #Differential ... Intraoperative #Checklist ... #Diagnosis #Management
High Central Neuraxial Block - Guidelines for Crises in Anaesthesia • Can occur with deliberate or accidental
Guidelines for Crises ... Consider other causes ... that may mimic signs ... Guidelines for crises ... #Diagnosis #Management
Myasthenic Crisis Checklist - Myasthenia Gravis Evaluation - Chest X-ray and lung ultrasound (exclude other lung
Myasthenic Crisis ... Phos), CBC with differential ... Pyridostigmine - New diagnosis ... monitoring (vital signs ... #Management #CriticalCare
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