51 results
Osborn waves - positive deflections at the J point (negative in aVR and V1) with a
hypercalcemia, brain injury ... This EKG was recorded ... Cardiology #diagnosis #CriticalCare ... Electrocardiogram #ECG ... #Clinical
Central Venous Catheter site selection - Clinical Decision Aid
IJ vs Subclavian vs Supraclavicular vs Femoral by
site selection - Clinical ... and mechanical injury ... @broomedocs #Management ... #CriticalCare #
Mask Oxygen Delivery Devices

Simple Mask aka Hudson's Mask:
 • Flow 6-10 LPM
 • FiO2 35-50%
Face Tent:
Mask Oxygen Delivery ... (e.g. facial trauma ... recent surgery, etc ... Delivery #Devices #management ... #pulmonary #criticalcare
Emergent Hyperkalemia Treatment Algorithm
ECG changes, weakness, K+ >6.5 Or renal insufficiency with K >5.5 with cellular
Treatment Algorithm ECG ... ongoing rhabo, crush injury ... , etc) ECG changes ... . obstruction. etc ... Treatment #Algorithm #Management
Acute Respiratory Distress Syndrome – ARDS: Clinical Cheat Sheet

An acute diffuse, inflammatory lung injury, leading to
Syndrome – ARDS: Clinical ... inflammatory lung injury ... objective assessment“ (e.g ... Management ● Early ... #CriticalCare
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
if suspected (e.g ... • Aggressive management ... Internet Book of Critical ... Endocarditis #checklist #criticalcare ... #diagnosis #management
This one at K = 2.4
The down up morphology remains
The computer measures the QT at 565
computer measures the QT ... at 565 ms, QTc ... at 591 ms This measurment ... smithECGBlog #Clinical ... #ECG #EKG #Hypokalemia
Checklist Approach to Hypokalemia

Consider risk factors for arrhythmia:
 - EKG changes (especially QT prolongation)
 - Digoxin
changes (especially QT ... incongruous with clinical ... Internet Book of Critical ... #Hypokalemia #Management ... #CriticalCare
Vasospastic (Prinzmetal) Angina
Definition / Epidemiology:
 • Rest angina attributed to coronary artery vasospasm.
 • Patients often
Raynaud, migraine, etc ... microvascular injury ... changes on tele/ECG ... cardiology #diagnosis #management
Myocarditis 

5 Principles of
Myocarditis:
1. Build clinical suspicion
2. Decide on EMBx
3. Manage acute cardiac injury
4. Manage chronic
Build clinical suspicion ... acute cardiac injury ... myocarditis Clinical ... VF, Myocardial injury ... Myocarditis #diagnosis #management