16 results
Approach to ECGs - Syncope Syndromes
Electrolytes
 • ↑K - brady, peak T, wide QRS, no P,
• ↑ Ca - short QT ... QT via long ST ... Syncope #Syndromes #ECG ... #EKG #Checklist ... #diagnosis #cardiology
Congenital Long QT Syndrome: Illness Script

Who?
 - Kids or young adults, usually < 30
 - high
QT Syndrome: Illness ... **Get baseline EKG ... - QT prolonging ... family history) Treatment ... Syndrome #Diagnosis #Cardiology
EKG with Cerebral T Waves in Subarachnoid Hemorrhage

ECG of a 45-year-old man who suddenly collapsed to
Subarachnoid Hemorrhage ECG ... These ECG changes ... There is a long ... QT. ... Hemorrhage #SAH #Cardiology
Approach to ECGs
Check
 - Age, gender, name
 - 25mm/s; 10mm/mV
 - 1mm = 40ms; 0.1 mV
Rate
DANGER - Short QT ... 360 ms: ↑ca - Long ... QT: "antis and ... #Approach #ECG ... #EKG #diagnosis
Checklist for Treatment of Delirium in the ICU 

Remove causative factors 
 - 
Exclude hypoglycemia if
Checklist for Treatment ... interruption (e.g ... in the night (e.g ... #Management #Treatment ... #MICU #CriticalCare
Checklist Approach to Hypokalemia

Consider risk factors for arrhythmia:
 - EKG changes (especially QT prolongation)
 - Digoxin
arrhythmia: - EKG ... changes (especially QT ... their validity (e.g ... clinical context & EKG ... #CriticalCare
Navigating a Rapid Response Team (RRT)

Assert Leadership:
 • Stand at foot of bed
 • Introduce yourself
EKG. ... provided, tasks to be completed ... remain on floor vs ICU ... Response #Team #RRT #Management ... #treatment #criticalcare
Admitting in the ICU - Checklist
VITALS: If bad, stop and go see the patient immediately; you
- Checklist VITALS ... hyponatremia, AKI, etc ... esp in work-up/management ... will also get an EKG ... diagnosis #workup #criticalcare
Summary of Heart Blocks
1st Degree Heart Block:
 • Prolonged PR >200ms (5 small squares).
 • Narrow
PR longest before ... Brady Management ... summary #Diagnosis #EKG ... electrocardiogram #ecg ... #cardiology
Recurrent Polymorphic VT/Torsades de Pointes - Management Algorithm
Drugs that prolong QT interval:
 • Class 1a (quinidine,
Torsades de Pointes - Management ... Drugs that prolong QT ... Donepezil Congenital long ... QT Syndrome Electrolyte ... Hypocalcemia (rarely) Treatment