8 results
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
- Ischemia MI ... Equivalents / Don't Miss Signs ... bigger than QRS - deWinter ... proximal LAD or high ... unless LBBB/LVH/high
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia

If the patient is unconscious, signs of cardiac
is unconscious, signs ... depression • T wave ... Have a high index ... Intraoperative #Checklist ... #Diagnosis #Management
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 ... deviation) • Acute ischemia ... #Equivalents #ECG
Myasthenic Crisis Checklist - Myasthenia Gravis

Evaluation 
 - Chest X-ray and lung ultrasound (exclude other lung
Myasthenic Crisis Checklist ... unless extremely high ... monitoring (vital signs ... anticholinergics, high-dose ... #Management #CriticalCare
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia
If prolonged or ≥ 39 C this is a
Excessive insulation, high ... Sepsis (→ 3-14) e.g ... hyperthermia crisis (late sign ... Anesthesiology #Anesthesia #Checklist ... #Diagnosis #Management
Leukostasis vs Tumor Lysis Syndrome
Leukostasis:
 • Pathophysiology: Large, immature blasts and high WBC count cause hyperviscosity
immature blasts and high ... AKI, acute limb ischemia ... WBC >100k, + lab signs ... unless worrisome EKG ... TLS #diagnosis #management
High Central Neuraxial Block - Guidelines for Crises in Anaesthesia
• Can occur with deliberate or accidental
High Central Neuraxial ... that may mimic signs ... anaesthesia #High ... Intraoperative #Checklist ... #Diagnosis #Management
Hypotension - Guidelines for Crises in Anaesthesia

Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
• Exclude high ... Pneumothorax and/or high ... : o Cardiac ischaemia ... Intraoperative #Checklist ... #Diagnosis #Management