55 results
Clinical Management for Three Common Causes of Shock 
HEMORRHAGIC SHOCK
 • Ensure adequate ventilation and oxygenation.
Clinical Management ... Initiate judicious infusion ... of poor organ perfusion ... , and titrate infusion ... #Shock #Management
Electrical Alternans on POCUS Echocardiogram
You dissect the EKG and note low voltage tachycardia with a hint
Electrical Alternans on POCUS ... You dissect the EKG ... POCUS ECHO performed ... Echocardiogram #clinical ... #effusion #pericardial
Hypermagnesemia - Etiologies by Mechanism
Renal Failure 
Excessive Mg Administration 
 - Massive PO intake
Excessive IV Mg infusion ... (e.g. eclampsia ... Hypermagnesemia #Differential ... Table #Causes #Management
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Pulmonary Embolism on POCUS ... Triage EKG (no prior ... Differential/diagnosis ... See thread for POCUS ... Echocardiogram #A4c #clinical
RV Strain in Pulmonary Embolism on POCUS Echocardiogram

A patient is brought by EMS intubated and hypotensive.
Pulmonary Embolism on POCUS ... your next step in management ... followed by 90mg iv infusion ... Pulmonary #Embolism #POCUS ... Echocardiogram #clinical
Emergency Management of Hyperkalemia in Adults
Assess Patient - Airway Breathing Circulation Disability Exposure (ABCDE) Approach
 •
Emergency Management ... Treatment guided by clinical ... scenario, ECG and ... Insulin–Glucose IV Infusion ... #Hyperkalemia #management
Adult-Onset Still's Disease
Clinical triad: Fever, Arthralgia/arthritis, Skin rash ± odynophagia
+ Biological inflammation: Increased neutrophils, Hyperferritinemia, decreased
Still's Disease Clinical ... fraction < 20% Differential ... Pulmonary: pleural effusion ... Disease #diagnosis #management
Syncope is a sudden, transient loss of consciousness, which is thought to be secondary to cerebral
cardiac syncope, e.g ... syncope (ruling out differential ... further guide management ... and an initial ECG ... should be guided by clinical
Large Pericardial Effusion on POCUS 

Good example of swinging heart in pre tamponade. Reason for electrical
Large Pericardial Effusion ... on POCUS Good ... EKG from same patient ... electrical #alternans #POCUS ... Echocardiogram #A4C #Clinical
Constrictive Pericarditis on Echocardiogram
A 55-year-old female marathon runner presents to clinic w/ 6-months of worsening breathlessness
runner presents to clinic ... had gained 15 kg ... circumferential pericardial effusion ... Echocardiogram #a4c #pocus ... #clinical #cardiology