28 results
Algorithm for bradycardic peri-arrest 
 - Bradycardiac peri-arrest may be loosely defined as severe bradycardia with
Algorithm for bradycardic ... peri-arrest - Bradycardiac ... with marked shock ... #Algorithm #Management ... #CriticalCare
Vasopressors and Inotropes
 • Norepinephrine - Levophed - "Levo" - Generally thought of as the first
pressor added in shock ... ), Symptomatic bradycardia ... - Symptomatic bradycardia ... Vasopressors #Inotropes #management ... #criticalcare #
Common Vasopressors and Inotropes
Norepinephrine (NE)
 - Indication: Distributive shock (1st line for septic shock), Cardiogenic shock
: Distributive shock ... is not desired (e.g ... is not desired (e.g ... effects: Reflex bradycardia ... #pharmacology #criticalcare
Bradycardia - Differential Diagnosis Framework and Management
Narrow Complex Bradycardia:
 • Regular: Sinus Bradycardia, AFib w/ AV
Framework and Management ... Management: 1) ... epinephrine 4) Page Cardiology ... Differential #Diagnosis #Management ... #cardiology #criticalcare
Initial assessment and management of coma in pediatric population.

Airway - is it secure? 
Breathing — is
assessment and management ... Circulation - treat shock ... Scale Exposure - e.g ... - Bradycardia and ... Pediatrics #Peds #ABCs #CriticalCare
BRASH Syndrome

B - Bradycardia
R - Renal failure
A - AV nodal blockade
S - Shock
H - Hyperkalemia

Typical ECG
Syndrome B - Bradycardia ... blockade S - Shock ... Hyperkalemia Typical ECG ... flattening of P waves (Bradycardia ... Syndrome #diagnosis #management
Bradycardia
1) First Steps: IV, O2, Monitors, ECG, Pads on patient, Crash Cart in room. Is patient
Bradycardia 1) ... brady, Signs of Shock ... SarahFoohey #bradycardia ... #differential #management ... #cardiology
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... and Management ... telemetry, 12-Lead EKG ... #Diagnosis #Management ... #Summary #criticalcare
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
gallop • Abnormal ECG ... • Cardiogenic shock ... cardiac death Management ... Myocarditis #Diagnosis #Management ... #Cardiology
Vasopressors and Inotropes - Pharmacology Summary
Vasopressors
Phenylephrine (alpha-1)
 • Increases BP, SVR
 • Risk of reflex bradycardia
Risk of reflex bradycardia ... first agent in shock ... line in septic shock ... CO • a (>10 mcg ... Pharmacology #Summary #management