10 results
Massive Pericardial Effusion on Echocardiogram (A4C) demonstrating ECG alternans motion
Massive pericardial effusion, female metastatic breast cancer
Massive Pericardial Effusion ... Echocardiogram (A4C ... demonstrating ECG ... clinical #cardiology #pocus ... #a4c #electrical
Large Pericardial Effusion on POCUS 

Good example of swinging heart in pre tamponade. Reason for electrical
on POCUS Good ... Reason for electrical ... EKG from same patient ... #alternans #POCUS ... Echocardiogram #A4C
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Pulmonary Embolism ... Triage EKG (no prior ... Differential/diagnosis ... Pulmonary embolism ... Echocardiogram #A4c
Massive Pericardial Effusion on Echocardiogram (S4C) demonstrating ECG alternans motion
Massive pericardial effusion, female metastatic breast cancer
Massive Pericardial Effusion ... Echocardiogram (S4C ... demonstrating ECG ... clinical #cardiology #pocus ... #S4C #electrical
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis

The most common causes of hyperlactatemia are usually:
Lactic Acidosis - Differential ... by excretion (e.g ... its metabolism (e.g ... hypoxemia/Sepsis etc ... output - Acute pulmonary
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
) • Elevated lactate ... Consider IL NS/LR infusion ... telemetry, 12-Lead EKG ... Tamponade - Pulmonary ... Management #Summary #criticalcare
Extracorporeal Membrane Oxygenation (ECMO) - Basics
Mode of cardiopulmonary support used to treat pulmonary and/or cardiovascular failure
used to treat pulmonary ... oxygenator • Assess perfusion ... (eg, NIRS, SVO2 ... , lactate) REST ... #criticalcare
Weakness - Differential Diagnosis Framework

Approach To Weakness:
 • Non-neuromuscular disorder (Cardiac, pulmonary etc)
 • CNS ->
Weakness - Differential ... disorder (Cardiac, pulmonary ... etc) • CNS -> ... CPK aldolase, lactate ... electromyographic (EMG
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
with presence of pulmonary ... ECG is vital while ... Adequate perfusion ... #diagnosis #differential ... heartfailure #chf #criticalcare
Severe Influenza Checklist

Diagnostic tests 
 - Blood cultures x2 
 - Sputum gram stain & culture
needed to exclude effusion ... diagnostic uncertainty (e.g ... fiQT) - Beta-lactam ... other indication (e.g ... lab-confirmed influenza, pulmonary