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diagnosis management workup anesthesiology intraoperative differential cardiac cardiology electrocardiogram equivalents ischemia anaphylaxis causes delirium embolism embolus evaluation hyperthermia interpretation ischaemia
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 ... #Ischemia #ECG ... #EKG #diagnosis
STEMI Equivalents on ECG • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
on ECG • Conventional ... J point • De Winter ... V2 • Wellens sign ... #Equivalents #ECG ... #EKG #diagnosis
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia If prolonged or ≥ 39 C this is a
Surgical devices, e.g ... Sepsis (→ 3-14) e.g ... malignant syndrome (e.g ... (late sign) (→ ... #Checklist #Diagnosis
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
is unconscious, signs ... trolley and 12-lead ECG ... CM5 continuous ECG ... Obtain a 12-lead ECG ... Intraoperative #Checklist
Checklist for Evaluation of New-Onset Delirium in the ICU Initial assessment - Vital signs, neuro exam
Checklist for Evaluation ... assessment - Vital signs ... Relevant drug levels (e.g ... rigidity) Consider EEG ... #Workup #MICU #CriticalCare
Cardiac Tamponade - Guidelines for Crises in Anaesthesia Caused by an accumulation of blood, pus, effusion fluid
iatrogenic causes, e.g ... pericardiocentesis kit (eg ... examination and vital signs ... Anesthesiology #Anesthesia ... Intraoperative #Checklist
Intraoperative Circulatory Embolus - Guidelines for Crises in Anaesthesia Causes: thrombus, fat, amniotic fluid, air/gas. Signs: hypotension, tachycardia,
Guidelines for Crises ... Signs: hypotension ... Consider thrombolysis e.g ... Anesthesiology #Anesthesia ... Intraoperative #Checklist
Myasthenic Crisis Checklist - Myasthenia Gravis Evaluation - Chest X-ray and lung ultrasound (exclude other lung
Myasthenic Crisis ... X-ray and lung ultrasound ... oral secretions (e.g ... monitoring (vital signs ... #Management #CriticalCare
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
Guidelines for Crises ... of more of the signs ... alternate vasopressor (e.g ... Guidelines for crises ... Intraoperative #Checklist
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