31 results
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 ... #diagnosis #differential ... #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 ... • Higher doses cause ... line in septic shock ... Pharmacology #Summary #management
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Shock - Differential ... Treatment Goals ... : 1) MAP > 60-65 ... ) UOP > 0.5 cc/kg ... #management
Approach to ECGs - Tachy/Bradyarrhythmias
Tachyarrhythmias - HR > 100
Wide
  (1) VT - DANGER
  (2)
Sinus bradycardia ... 200ms from longer pause ... #EKG #diagnosis ... electrocardiogram #cardiology ... #differential
Cardiac Stress Testing
Exercise:
 • Everyone who can exercise should!
 • They must be able to raise
production to cause ... Dobutamine) - Beta 1 ... arrythmias Diagnostics: EKG ... Stress #Testing #cardiology ... #management #diagnosis
Streptococcal Toxic Shock Syndrome (STSS)
Complication of invasive GAS disease characterized by shock & MOF → occurs
GAS in 30% of cases ... necrosis STSS Treatment ... on day 1, 0.5g/ ... Syndrome #STSS #treatment ... #management #diagnosis
Salicylate Toxicity - Diagnosis and Management

Consider if:
1) Patient is hot and altered
2) You see tachypnea with
Consider if: 1) ... no respiratory cause ... Pulmonary edema, Shock ... 1) Resuscitation ... #Treatment
Antibiotics for severe community-onset pneumonia 

Atypical coverage always 

- Usually azithromycin 500 mg daily 

- Doxycycline
piperacillin-tazobactam Septic Shock ... Immunocompromise (e.g ... only in selected cases ... #Community #Acquired ... Antibiotics #Coverage #Management
Myocarditis 

5 Principles of
Myocarditis:
1. Build clinical suspicion
2. Decide on EMBx
3. Manage acute cardiac injury
4. Manage chronic
Myocarditis: 1. ... HF, Cardiogenic shock ... Pericarditis, Tamponade EKG ... Low voltage Treatment ... #cardiology #summary
Orthopedic Emergencies
Compartment Syndrome
 • An increase in compartment pressure to the point where tissue perfusion is
usually appear in 1- ... 1. ... including DM • Treatment ... characterised by bradycardia ... #treatment