19 results
Apical Approach Pericardiocentesis on POCUS Echocardiogram

Apical approach had best pocket + good distance away from lung
distance away from lung ... in vitals and shock ... Echocardiogram #A4c ... #clinical #cardiology ... #effusion #pericardial
Hemorrhagic Pericardial Effusions (Hemopericardium)- Differential Diagnosis Framework

IATROGENIC DISEASE
Secondary to invasive cardiac procedures

NONIATROGENIC
• Malignancy (e.g., metastatic spread:
Secondary to invasive cardiac ... • Malignancy (e.g ... metastatic spread: lung ... patients with pulmonary ... CAUSES • PRIMARY Cardiac
Massive Pericardial Effusion on Echocardiogram (A4C) demonstrating ECG alternans motion
Massive pericardial effusion, female metastatic breast cancer
(A4C) demonstrating ... ECG alternans motion ... #malignant #clinical ... #cardiology #pocus ... #a4c #electrical
Clinical Management for Three Common Causes of Shock 
HEMORRHAGIC SHOCK
 • Ensure adequate ventilation and oxygenation.
Clinical Management ... when possible (eg ... dysrhythmias (eg ... reverse the insult (eg ... #CriticalCare
Large Pericardial Effusion on POCUS 

Good example of swinging heart in pre tamponade. Reason for electrical
Effusion on POCUS ... EKG from same patient ... electrical #alternans #POCUS ... Echocardiogram #A4C ... #Clinical #Cardiology
Massive Pericardial Effusion on Echocardiogram (S4C) demonstrating ECG alternans motion
Massive pericardial effusion, female metastatic breast cancer
Massive Pericardial ... (S4C) demonstrating ... ECG alternans motion ... #malignant #clinical ... #cardiology #pocus
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
telemetry, 12-Lead EKG ... pericarditis, Pericardial ... Tamponade - Pulmonary ... Cardiac surgery? ... Management #Summary #criticalcare
Complex Pericardial Effusion with Tamponade on POCUS Echocardiogram - A4C
Pt sent to ED c intradialytic hypotension.
on POCUS Echocardiogram ... - A4C Pt sent to ... K 5.9 without EKG ... #Effusion #Cardiac ... #clinical #cardiology
Checklist Approach to Hypokalemia

Consider risk factors for arrhythmia:
 - EKG changes (especially QT prolongation)
 - Digoxin
arrhythmia: - EKG ... their validity (e.g ... incongruous with clinical ... context & EKG) ... NPO, or profound shock
Extracorporeal Membrane Oxygenation (ECMO) - Basics
Mode of cardiopulmonary support used to treat pulmonary and/or cardiovascular failure
used to treat pulmonary ... flow supports cardiac ... oxygenator • Assess perfusion ... (eg, NIRS, SVO2 ... #criticalcare