13 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 ... 7) QRS Complex ... gracie_leo #ECG ... #peds #cardiology ... Electrocardiogram #EKG
Status Epilepticus - Management
Seizure > 5 mins or two seizures without complete recovery between them
PEDS
Benzo Dose
without complete ... between them PEDS ... Lorazepam 0.1 mg/kg ... #management #treatment ... #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
Pediatric SVT - Management Algorithm
Identify SVT:
 • HR not variable
 • Abrupt rate changes
 • Infants:
Pediatric SVT - ... : HR > 180bpm ECG ... 0.2 mg/kg Unstable ... #Algorithm #peds ... #Pediatric #treatment
Diagnostic Algorithm for the Patient with Seizure in the Emergency Department
Does the history suggest a seizure?
the Patient with Seizure ... additional symptoms (eg ... speech abnormality, etc ... - Postictal state ... #management #Neurology
Recurrent Polymorphic VT/Torsades de Pointes - Management Algorithm
Drugs that prolong QT interval:
 • Class 1a (quinidine,
Torsades de Pointes - Management ... Drugs that prolong QT ... Congenital long QT ... Hypocalcemia (rarely) Treatment ... 1 gm/hour • Pediatric
Treatment of Stable Wide-Complex Tachycardia
Regular
 • If ventricular tachycardia or uncertain rhythm:
    -
Treatment of Stable ... Wide-Complex Tachycardia ... nodal agents (e.g ... Follow narrow-complex ... #management #cardiology
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
Treatment of Stable ... Narrow-Complex ... Control rate (e.g ... Control rate (e.g ... #management #cardiology
Premature Ventricular Complexes (PVC's) - Summary Framework

Why PVCs?  Can be the first manifestation of cardiac
arrhythmia syndromes (e.g ... ., long QT syndrome ... 300 = NSVT EKG ... more intensive treatment ... #differential #cardiology
Management of Convulsive Status Epilepticus in children
Stabilization Phase (Seizure 0-5 minutes):
 • Check and maintain ABC
Management of Convulsive ... infusion of 2 mcg ... maximum of 24 mcg ... #Management #neurology ... #pediatrics #peds