10 results
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
Myocarditis Diagnosis ... gallop • Abnormal ECG ... shock, sudden cardiac ... #Diagnosis #Management ... #Cardiology
Myocarditis 

5 Principles of
Myocarditis:
1. Build clinical suspicion
2. Decide on EMBx
3. Manage acute cardiac injury
4. Manage chronic
Build clinical suspicion ... Manage acute cardiac ... agent, steroids, AC ... #diagnosis #management ... #cardiology #summary
Air gap sign: loss of cardiac image during systole in Pneumopericardium
Interesting observation –loss of cardiac window
sign: loss of cardiac ... Pneumopericardium #clinical ... #cardiology #echocardiogram ... #a4c #plax #pocus ... #airgap #sign
Cardiac Tamponade on POCUS
Hypotension in trauma is not always due to hypovolemia. This was a great
in diagnosing cardiac ... for definitive management ... - MH/CCF/CWRU EM ... #clinical #ultrasound ... #s4c
Cardiac Tamponade - Guidelines for Crises in Anaesthesia
Caused by an accumulation of blood, pus, effusion fluid
• Maintain the airway ... tamponade recurs. ❿ Plan ... definitive management ... specialist referral. ⓫ Plan ... #Management #Workup
Peripartum Cardiomyopathy - Summary
1. Definition
 • Towards the end of pregnancy to 5 months postpartum
fragment • Other: Myocarditis ... Clinical • Under-recognized ... and timing with Cardio-OB ... follow-up with Cardio-OB ... #management #cardiology
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
of a difficult airway ... Change in clinical ... - Cataract Plan ... medical and surgical management ... stratification #diagnosis
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia
• Unexplained hypotension
• Unexplained bronchospasm (wheeze may be absent
• Maintain the airway ... • Plan for repeat ... feasible (Box B). ⓭ Plan ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Neuroprotection following Cardiac Arrest - Guidelines for Crises in Anaesthesia
Outcome from cardiac arrest is determined by
Obtain 12-lead ECG ... develop (Box B). ❾ Plan ... further management ... in critical care ... Intraoperative #Checklist #Diagnosis
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
(@MarkRamzyDO, EM ... Hamilton, MD (EM ... This patient’s clinical ... monitored for airway ... #Radiology #CTChest