29 results
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
endocarditis w/ septic pulmonary ... if suspected (e.g ... block (+/- daily EKG ... of infection (e.g ... #criticalcare #diagnosis
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 #clinical
Pulmonary Embolism on ECG 

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
on ECG Mid ... Triage EKG (no prior ... See thread for POCUS ... #Embolism #ECG ... #EKG #Electrocardiogram
Hyperkalemia shortens repolarization; changes in the T wave provide the earliest clues to hyperpotassemia.
 - At
prolonged PR and QT ... sine wave (QRS-T fusion ... #Diagnosis #Hyperkalemia ... #EKG #ECG #Changes ... #Progression #Table
Pancreatitis management checklist 
Evaluation to guide etiology & management 
 - RUQ ultrasound 
 - Calcium
septic shock (e.g ... resuscitation (e.g ... choledolithiasis (e.g ... limit them as able ... #Diagnosis #Management
Cardiac Tamponade - Guidelines for Crises in Anaesthesia
Caused by an accumulation of blood, pus, effusion fluid
of blood, pus, effusion ... iatrogenic causes, e.g ... pericardiocentesis kit (eg ... Anesthesiology #Anesthesia #Intraoperative ... #Checklist #Diagnosis
Intraoperative Massive Blood Loss - Guidelines for Crises in Anaesthesia
Expected or unexpected major haemorrhage

❶ Call for
Intraoperative Massive ... . ❼ Use rapid infusion ... , coagulation, etc ... an appropriate clinical ... #Checklist #Diagnosis
Pulmonary complications of targeted therapy
-Immune checkpoint inhibitors (e.g. pembrolizumab)
-Pneumonitis is uncommon (~5% of patients) but can
Pulmonary complications ... checkpoint inhibitors (e.g ... reports of pleural effusion ... associated with a clinical ... #Clinical #Diagnosis
Intraoperative  Bradycardia - Guidelines for Crises in Anaesthesia
Bradycardia in theatre should not be treated as
Intraoperative ... rate, rhythm, perfusion ... known drug causes (eg ... remifentanil, digoxin etc ... #Checklist #Diagnosis
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia
• Unexplained hypotension
• Unexplained bronchospasm (wheeze may be absent
Intraoperative Anaphylaxis ... alternate vasopressor (e.g ... as patient is stable ... an appropriate critical ... #Checklist #Diagnosis