190 results
Approach to ECGs - Tachy/Bradyarrhythmias
Tachyarrhythmias - HR > 100
Wide
  (1) VT - DANGER
  (2)
Approach to ECGs ... (2) Atrial flutter ... 200ms from longer pause ... bradyarrhythmia #ECG ... #EKG #diagnosis
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
Endocarditis checklist ... if suspected (e.g ... block (+/- daily EKG ... of infection (e.g ... #criticalcare #
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
Possible atrial flutter ... Control rate (e.g ... Treat underlying cause ... Control rate (e.g ... management #cardiology #algorithm
Severe Asthma Algorithm - Management of Life-Threatening Asthma in the Emergency Department
Step One
1. Nebulized Albuterol
2. Nebulized
Severe Asthma Algorithm ... Fluid bolus 20 cc/kg ... HCG, ECG if concern ... Emergency #Management #CriticalCare ... #Exacerbation #Algorithm
Causes of Splenomegaly - Differential Diagnosis Algorithm
Infectious
 • Bacterial
 • Viral (EBV)
 • Parasitic
 • Fungal
Congestive
Causes of Splenomegaly ... Differential Diagnosis Algorithm ... • Thrombus (e.g ... Myeloproliferative disorders (eg ... Differential #Diagnosis #Algorithm
Checklist Approach to Hypokalemia

Consider risk factors for arrhythmia:
 - EKG changes (especially QT prolongation)
 - Digoxin
Checklist Approach ... arrhythmia: - EKG ... their validity (e.g ... clinical context & EKG ... Hypokalemia #Management #CriticalCare
Causes of Hypernatremia - Differential Diagnosis Algorithm
Hypernatremia - Excess free water loss, Serum Sodium >145 mmol/L
High
Causes of Hypernatremia ... Differential Diagnosis Algorithm ... Polyuria scheme) e.g ... Hypernatremia #Nephrology ... #Causes
Checklist for Evaluation of New-Onset Delirium in the ICU

Initial assessment 
 - 
Vital signs, neuro exam
Checklist for Evaluation ... Relevant drug levels (e.g ... rigidity) Consider EEG ... nonconvuIsive status #Checklist ... #Workup #MICU #CriticalCare
Pancreatitis management checklist 
Evaluation to guide etiology & management 
 - RUQ ultrasound 
 - Calcium
Pancreatitis management checklist ... septic shock (e.g ... resuscitation (e.g ... choledolithiasis (e.g ... Diagnosis #Management #CriticalCare
Causes of Pediatric Constipation - Differential Diagnosis Algorithm
Dietary / Functional:
 • Insufficient Volume / Bulk
Neurologic:
 •
Causes of Pediatric ... Differential Diagnosis Algorithm ... Volume / Bulk Neurologic ... Withholding • Painful (e.g ... #Causes #Peds #