15 results
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
/ Don't Miss Signs ... bigger than QRS - deWinter ... proximal LAD or high ... unless LBBB/LVH/high ... #EKG #diagnosis
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
STEMI Equivalents ... J point • De Winter ... V2 • Wellens sign ... pain • Wellens sign ... #ECG #EKG #diagnosis
Checklist for Evaluation of New-Onset Delirium in the ICU

Initial assessment 
 - 
Vital signs, neuro exam
Checklist for Evaluation ... assessment - Vital signs ... presentation in winter ... tox/infectious workup ... #CriticalCare #Diagnosis
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia
If prolonged or ≥ 39 C this is a
Excessive insulation, high ... hyperthermia crisis (late sign ... Anesthesiology #Anesthesia #Checklist ... #Diagnosis #Management ... #Workup
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia

If the patient is unconscious, signs of cardiac
is unconscious, signs ... Have a high index ... Intraoperative #Checklist ... #Diagnosis #Management ... #Workup
IgG4-Related Disease
Clinical history:  Man, 60 years, multiorgan involvement, unique or multiple inflammatory pseudotumor
4 phenotypes:
 •
Retroperitoneum and aorta ... , lymph node), high ... conventional imaging (aorta ... #management #phenotypes ... #workup #treatment
Myasthenic Crisis Checklist - Myasthenia Gravis

Evaluation 
 - Chest X-ray and lung ultrasound (exclude other lung
Myasthenic Crisis Checklist ... - Infectious workup ... Pyridostigmine - New diagnosis ... monitoring (vital signs ... #Management #CriticalCare
High Central Neuraxial Block - Guidelines for Crises in Anaesthesia
• Can occur with deliberate or accidental
High Central Neuraxial ... that may mimic signs ... Intraoperative #Checklist ... #Diagnosis #Management ... #Workup
Intraoperative Circulatory Embolus - Guidelines for Crises in Anaesthesia
Causes: thrombus, fat, amniotic fluid, air/gas.
Signs: hypotension, tachycardia,
Signs: hypotension ... over 2 h (>65 kg ... Intraoperative #Checklist ... #Diagnosis #Management ... #Workup
Can’t Intubate, Can’t Oxygenate (CICO) - Guidelines for Crises in Anaesthesia
This is the last resort when
device or nasal high ... airway expertise e.g ... Intraoperative #Checklist ... #Diagnosis #Management ... #Workup