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management anesthesia anesthesiology intraoperative differential cardiology criticalcare ecg equivalents ischemia stemi anaesthetic anaphylaxis ascites block delirium embolism embolus evaluation hepatology
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
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 #cardiology #electrocardiogram
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 ... #electrocardiogram
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
is unconscious, signs ... depression • T wave ... Intraoperative #Checklist ... #Diagnosis #Management ... #Workup
Shock - Diagnosis and Management Summary • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... Full Set of Vital Signs ... telemetry, 12-Lead EKG ... and Survey 4) Workup ... Cardiac surgery?
Ascites - Diagnostic Approach and Differential Diagnosis The most common causes: cirrhosis, malignancy and heart failure. Approx
than one cause (e.g ... dullness, puddle sign ... incisional). 3) Signs ... Analysis: 1) General ... Jcortesizaguirr #Ascites #workup
Intraoperative Circulatory Embolus - Guidelines for Crises in Anaesthesia Causes: thrombus, fat, amniotic fluid, air/gas. Signs: hypotension, tachycardia,
Signs: hypotension ... unexplained loss of cardiac ... possible • If central ... #Diagnosis #Management ... #Workup
Cardiac Tamponade - Guidelines for Crises in Anaesthesia Caused by an accumulation of blood, pus, effusion fluid
Cardiac Tamponade ... . central line placement ... examination and vital signs ... Intraoperative #Checklist ... #Workup
Local Anaesthetic Toxicity - Guidelines for Crises in Anaesthesia Signs of severe toxicity: • Sudden alteration in
in Anaesthesia Signs ... problem. ❸ Call for cardiac ... Intraoperative #Checklist ... #Diagnosis #Management ... #Workup
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
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