83 results
Torsades de Pointes
• "Twisting of the pointes" 
• QRS axis swings from positive to negative direction
Originates from single focus ... that prolong the QT ... Diagnosis #Cardiology #ECG ... #EKG
Electrical Alternans on POCUS Echocardiogram
You dissect the EKG and note low voltage tachycardia with a hint
Electrical Alternans on POCUS ... You dissect the EKG ... POCUS ECHO performed ... Electrical #Alternans #POCUS ... Echocardiogram #clinical #effusion
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 ... • Adult: 0.5-5 mcg ... TorsadesdePointes #TDP #Management
Clinical Management for Three Common Causes of Shock 
HEMORRHAGIC SHOCK
 • Ensure adequate ventilation and oxygenation.
Clinical Management ... when possible (eg ... dysrhythmias (eg ... reverse the insult (eg ... #Shock #Management
Constrictive Pericarditis on POCUS Echocardiogram - Apical 3-Chamber View

Young Lupus patient admitted to hospital new onset
Pericarditis on POCUS ... has pericardial effusion ... with similar peri effusion ... Septal bounce, etc ... Pericarditis #CP #POCUS
Managing side effects of birth control

Adverse effects associated with hormonal contraceptives (e.g. headache, breakthrough bleeding, etc)
contraceptives (e.g ... breakthrough bleeding, etc ... continuous use (e.g ... progestin component, etc ... #management #medications
Hyperkalemia shortens repolarization; changes in the T wave provide the earliest clues to hyperpotassemia.
 - At
prolonged PR and QT ... sine wave (QRS-T fusion ... #Hyperkalemia #EKG ... #ECG #Changes #
Priority-based management algorithm for the undifferentiated patient in PEA arrest
PEA (no pulse by manual palp +
Priority-based management ... Cardiac POCUS 3 ... A-line placement - POCUS ... Start vasopressor infusion ... electrical #activity #management
Hypermagnesemia - Etiologies by Mechanism
Renal Failure 
Excessive Mg Administration 
 - Massive PO intake
Excessive IV Mg infusion ... (e.g. eclampsia ... Table #Causes #Management
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Cardiogenic Shock - Management ... Evaluation - EKG ... edema - Large effusion ... nitroglycerine infusion ... HeartFailure #Cardiology #Management