16 results
Torsades de Pointes 
•Precipitated by drugs that prolong the QT interval 
•Class IA antidysrhythmics (procainamide, quinidine)
that prolong the QT ... quinidine) •Class IC ... TorsadesDePointes #Diagnosis #Cardiology ... #ECG #EKG
Approach to ECGs
Check
 - Age, gender, name
 - 25mm/s; 10mm/mV
 - 1mm = 40ms; 0.1 mV
Rate
Approach to ECGs ... /pacer - QTc ... DANGER - Short QT ... : ↑ca - Long QT ... electrocardiogram #cardiology
Congenital Long QT Syndrome: Illness Script

Who?
 - Kids or young adults, usually < 30
 - high
Congenital Long QT ... **Get baseline EKG ... - QT prolonging ... abnormalities - Avoid QTc ... Syndrome #Diagnosis #Cardiology
Torsades de Pointes
• "Twisting of the pointes" 
• QRS axis swings from positive to negative direction
that prolong the QT ... quridine) Class IC ... TorsadesDePointes #Diagnosis #Cardiology ... #ECG #EKG
Algorithm for the Management of Ventricular Tachycardia Electrical Storm
ES diagnosed (≥ 3 episodes of VT/ICD therapies
Algorithm for the Management ... cardioversion Stable ... VT • Normal QTc ... • Long QTc (Torsades ... #morphology #cardiology
Pediatric SVT - Management Algorithm
Identify SVT:
 • HR not variable
 • Abrupt rate changes
 • Infants:
Pediatric SVT - Management ... : HR > 180bpm ECG ... AP Stable? ... Maneuvers - Ice ... #Algorithm #peds
EKG with Cerebral T Waves in Subarachnoid Hemorrhage

ECG of a 45-year-old man who suddenly collapsed to
These ECG changes ... the result of ↑ICP ... There is a long QT ... Cerebral #TWaves #ECG ... Hemorrhage #SAH #Cardiology
Checklist for Treatment of Delirium in the ICU 

Remove causative factors 
 - 
Exclude hypoglycemia if
Delirium in the ICU ... c deliriogenic meds ... interruption (e.g ... Delirium #Checklist #Management ... #CriticalCare
Admitting in the ICU - Checklist
VITALS: If bad, stop and go see the patient immediately; you
Admitting in the ICU ... hyponatremia, AKI, etc ... esp in work-up/management ... will also get an EKG ... diagnosis #workup #criticalcare
Class I Antiarrhythmics and their Key Pharmacologic Properties

Class IA = Quinidine, Procainamide, Disopyramide ("Quarter PounDer")
Class IB
Pickle") Class IC ... in wide QRS on EKG ... results in prolonged QT ... on EKG • Increasing ... Pharmacology #Agents #Cardiology