73 results
Torsades de Pointes
• "Twisting of the pointes" 
• QRS axis swings from positive to negative direction
that prolong the QT ... Hypomagnesemia Hypokalemia ... TorsadesDePointes #Diagnosis ... #Cardiology #ECG ... #EKG
Hyperkalemia shortens repolarization; changes in the T wave provide the earliest clues to hyperpotassemia.
 - At
Hyperkalemia shortens ... repolarization causes ... prolonged PR and QT ... #Diagnosis #Hyperkalemia ... #EKG #ECG #Changes
Emergency Management of Hyperkalemia in Adults
Assess Patient - Airway Breathing Circulation Disability Exposure (ABCDE) Approach
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Emergency Management ... mmol/L - Consider cause ... Treatment guided by clinical ... scenario, ECG and ... #management #algorithm
In general, we expand antibiotics too soon in cellulitis, as clinical response (e.g. reduction in edema/erythema,
cellulitis, as clinical ... response (e.g. ... source control (e.g ... (e.g. venous stasis ... #EBM #ID #Management
Coverage of common antibiotics used in the hospital

For empiric coverage, first define the type of infection,
Coverage of common antibiotics ... prior resistance. e.g ... ESBL, KPC, VRE. etc ... ampicillin #management ... #antibiogram #pharmacology
My Patient with Infective Endocarditis (IE) Has Negative Blood Cultures
 - Did they receive antibiotics prior
therapy - Number one cause ... Eg: C. burnetii ... Mycobacterial etc ... BloodCultures #Diagnosis ... #Management #Algorithm
Checklist Approach to Hypokalemia

Consider risk factors for arrhythmia:
 - EKG changes (especially QT prolongation)
 - Digoxin
arrhythmia: - EKG ... changes (especially QT ... their validity (e.g ... context & EKG) ... #Management #CriticalCare
Syncope is a sudden, transient loss of consciousness, which is thought to be secondary to cerebral
cardiac syncope, e.g ... further guide management ... and an initial ECG ... Further diagnostics ... should be guided by clinical
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
if suspected (e.g ... course • Adjust antibiotics ... block (+/- daily EKG ... of infection (e.g ... #criticalcare #diagnosis
Chest pain, good story, but nonspecific ECG? Do a bedside echo: regional WMAs support your case
but nonspecific ECG ... WMAs support your case ... UltrasoundJelly #Clinical ... #Diagnosis #POCUS