21 results
Pediatric ECG Interpretation Guide

1) Rate Calculation
2) Rhythm
3) QRS Axis
4) P Wave
5) ST Segment
6) QTc
7) QRS Complex
8)
Pediatric ECG Interpretation ... ST Segment 6) QTc ... gracie_leo #ECG ... #peds #cardiology ... Electrocardiogram #EKG
Approach to ECGs
Check
 - Age, gender, name
 - 25mm/s; 10mm/mV
 - 1mm = 40ms; 0.1 mV
Rate
DANGER - Short QT ... - Long QT: "antis ... #Approach #ECG ... #EKG #diagnosis ... electrocardiogram #cardiology
Pediatric SVT - Management Algorithm
Identify SVT:
 • HR not variable
 • Abrupt rate changes
 • Infants:
Pediatric SVT - ... Management Algorithm ... : HR > 180bpm ECG ... #Algorithm #peds ... #Pediatric #treatment
Status Epilepticus - Management
Seizure > 5 mins or two seizures without complete recovery between them
PEDS
Benzo Dose
Lorazepam 0.1 mg/kg ... Anti-epileptic #3 ... #treatment #algorithm ... #peds #pediatrics ... #neurology
Congenital Long QT Syndrome: Illness Script

Who?
 - Kids or young adults, usually < 30
 - high
Congenital Long QT ... **Get baseline EKG ... - QT prolonging ... family history) Treatment ... Syndrome #Diagnosis #Cardiology
Recurrent Polymorphic VT/Torsades de Pointes - Management Algorithm
Drugs that prolong QT interval:
 • Class 1a (quinidine,
Algorithm Drugs ... that prolong QT ... flecainide) • Class 3 ... Congenital long QT ... Hypocalcemia (rarely) Treatment
Emergent Hyperkalemia Treatment Algorithm
ECG changes, weakness, K+ >6.5 Or renal insufficiency with K >5.5 with cellular
Algorithm ECG ... crush injury, etc ... ) ECG changes ... monitor glucose x 3 ... #Algorithm #Management
Giant cell arteritis (GCA)

Giant cell arteritis (GCA) definition: Most common systemic inflammatory vasculitis in older adults
with systemic, neurologic ... not be subtle e.g ... E.g. 80 yo ESR cutoff ... Treatment of GCA ... Symptoms #Diagnosis #Management
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Evaluation - EKG ... hypoperfusion) Rx 3 ... Nephrotoxins (e.g ... channel blocker (eg ... #HeartFailure #Cardiology
Management of Convulsive Status Epilepticus in children
Stabilization Phase (Seizure 0-5 minutes):
 • Check and maintain ABC
Management of Convulsive ... : 8 mg) over 2-3 ... Epilepticus #seizure #Management ... #neurology #pediatrics ... #peds #algorithm