23 results
Chest Pain - Diagnosis and Workup Algorithm

History and Exam
Acute life-threatening causes:
 • Acute myocardial infarction
 •
Algorithm History ... life-threatening causes ... Pneumothorax • Pulmonary ... embolism • Cardiac ... : • EKG • Bedside
Intraoperative Circulatory Embolus - Guidelines for Crises in Anaesthesia
Causes: thrombus, fat, amniotic fluid, air/gas.
Signs: hypotension, tachycardia,
in Anaesthesia Causes ... Consider thrombolysis e.g ... mainstay of initial management ... #Anesthesiology ... #Workup
Pulmonary Embolism on ECG 

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Pulmonary Embolism ... See thread for POCUS ... Pulmonary embolism ... #Embolism #ECG ... #clinical #cardiology
Cardiac Tamponade - Guidelines for Crises in Anaesthesia
Caused by an accumulation of blood, pus, effusion fluid
Call for cardiac arrest ... Plan definitive management ... Cardiac #Tamponade #Anesthesiology ... Checklist #Diagnosis #Management ... #Workup
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia

If the patient is unconscious, signs of cardiac
Call for cardiac arrest ... consultation with cardiology ... Ischemia #Ischaemia #Anesthesiology ... Checklist #Diagnosis #Management ... #Workup
Cardiac Arrest - Guidelines for Crises in Anaesthesia

The probable cause is one or more of: something
• Check ECG rhythm ... Anaphylaxis (→ 3-1) Embolism ... #Differential #Anesthesiology ... Checklist #Diagnosis #Management ... #Workup
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia
• Unexplained hypotension
• Unexplained bronchospasm (wheeze may be absent
Unexpected cardiac arrest ... alternate vasopressor (e.g ... #Anaphylaxis #Anesthesiology ... Checklist #Diagnosis #Management ... #Workup
Acute Pulmonary Embolism on POCUS Echocardiogram - PLAX
Here’s a recent case that demonstrates two of the
Embolism on POCUS ... Here’s a recent case ... Arrests in waiting ... #Embolism #POCUS ... PLAX #clinical #cardiology
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Cerebral > Splenic, pulmonary ... Cause Injury By ... ↑ ESR, CRP • EKG ... Endocarditis #diagnosis #management ... #cardiology
Increased Airway Pressure - Guidelines for Crises in Anaesthesia

Using these steps from start to end should
blood gas, 12-lead ECG ... o Circulatory embolus ... o Aspiration, pulmonary ... #Differential #Anesthesiology ... #Workup