21 results
Massive Pericardial Effusion on Echocardiogram (PLAX and M-Mode) demonstrating ECG alternans motion
Massive pericardial effusion, female metastatic
on Echocardiogram ... (PLAX and M-Mode ... demonstrating ECG ... #malignant #clinical ... #cardiology #pocus
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia
If prolonged or ≥ 39 C this is a
39 C this is a clinical ... Treatment depends ... Surgical devices, e.g ... Sepsis (→ 3-14) e.g ... (e.g. haloperidol
Cardiac Tamponade - Guidelines for Crises in Anaesthesia
Caused by an accumulation of blood, pus, effusion fluid
of blood, pus, effusion ... , e.g. central line ... pericardiocentesis kit (eg ... thoracotomy is a better treatment ... Intraoperative #Checklist
Short axis of this echo is mesmerizing: Malignant effusion in a young pt. Notice subtle electrical
mesmerizing: Malignant effusion ... alternans on the ECG ... PericardialEffusion #Clinical ... #POCUS #Echocardiogram ... #Cardiology
Complex Pericardial Effusion with Tamponade on POCUS Echocardiogram - PLAX
Pt sent to ED c intradialytic hypotension.
Tamponade on POCUS Echocardiogram ... - PLAX Pt sent ... K 5.9 without EKG ... #PLAX #clinical ... #cardiology
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia
• Unexplained hypotension
• Unexplained bronchospasm (wheeze may be absent
trolley, anaphylaxis treatment ... alternate vasopressor (e.g ... • Plan for repeat ... feasible (Box B). ⓭ Plan ... Intraoperative #Checklist
Recurrent Polymorphic VT/Torsades de Pointes - Management Algorithm
Drugs that prolong QT interval:
 • Class 1a (quinidine,
Drugs that prolong QT ... Congenital long QT ... Syndrome Electrolyte ... Hypocalcemia (rarely) Treatment ... 1b (lidocaine)- case
Premature Ventricular Complexes (PVC's) - Summary Framework

Why PVCs?  Can be the first manifestation of cardiac
(e.g., long QT ... syndrome, ARVC) ... 300 = NSVT EKG ... more intensive treatment ... #differential #cardiology
Intraoperative Massive Blood Loss - Guidelines for Crises in Anaesthesia
Expected or unexpected major haemorrhage

❶ Call for
. ❼ Use rapid infusion ... Discuss management plan ... , coagulation, etc ... an appropriate clinical ... Intraoperative #Checklist
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis

The most common causes of hyperlactatemia are usually:
by excretion (e.g ... its metabolism (e.g ... hypoxemia/Sepsis etc ... - shock->treatments ... - Compartment syndrome