8 results
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
Infarction  Ischemic ... Symptoms  EKG ... flow in all major epicardial ... DCSI #Initiative #Management ... #Cardiology
Bradycardia
1) First Steps: IV, O2, Monitors, ECG, Pads on patient, Crash Cart in room. Is patient
brady, Signs of Shock ... Ischemia? ... Patients DIE: Drugs, Ischemia ... #differential #management ... #cardiology
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
- Management Checklist ... Evaluation - ... EKG & echocardiography ... antiarrhythmics - Ischemic ... #HeartFailure #Cardiology
Checklist Approach to Hypokalemia

Consider risk factors for arrhythmia:
 - EKG changes (especially QT prolongation)
 - Digoxin
arrhythmia: - EKG ... - Myocardial ischemia ... pomagnesemia Evaluation ... NPO, or profound shock ... #Hypokalemia #Management
Atrial Fibrillation (A-Fib) Summary

Symptoms:
• Palpitations, light-headedness, dizziness, dyspnea, exercise intolerance, chest pain, near-syncope, syncope.

Why?
Cardiac:
	• Valvular heart
Decompensated HF • New ischemia ... structural and electrical ... ventricular hypertrophy, pericardial ... AFib #diagnosis #management ... #cardiology
Modified dengue severity classification, PAHO/WHO
Dengue without warning signs - DNWS:
 • Person who lives or has
and no apparent focus ... Intense abdominal ... pleural effusion, pericardial ... Shock evidenced ... bleeding: based on evaluation
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
Preoperative Risk Evaluation ... history of: a) Ischemic ... one post op Cardiology ... undergoing AAA or upper abdominal ... medical and surgical management
This infographic provides a mnemonic tool called “WOBBLER” for assessing an ECG (electrocardiogram) in cases of
to focus on ... not have obvious ischemia ... Utility: • Syncope evaluation ... the physician to focus ... #cardiology #differential