12 results
Common Vasopressors and Inotropes
Norepinephrine (NE)
 - Indication: Distributive shock (1st line for septic shock), Cardiogenic shock
Arrythmias, Peripheral ischemia ... effects: Peripheral ischemia ... Arrhythmias, Peripheral ischemia ... Tachyarrhythmias, Cardiac ischemia ... #pharmacology #criticalcare
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
DETROIT CARDIOGENIC ... Infarction  Ischemic ... Symptoms  EKG ... visualization with use of ultrasound ... Initiative #Management #Cardiology
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Evaluation - EKG ... (no B-lines on ultrasound ... antiarrhythmics - Ischemic ... Revascularization, treatment ... #HeartFailure #Cardiology
Premature Ventricular Complexes (PVC's) - Summary Framework

Why PVCs?  Can be the first manifestation of cardiac
• Myocardial ischemia ... • Underlying ischemic ... 300 = NSVT EKG ... more intensive treatment ... #differential #cardiology
Large Mobile Left Atrial Thrombus on Transesophageal Echocardiogram

Female, 78 yo. HT & DM2. Admitted for severe
ECG: AF. ... admission: acute ischemia ... territories: mesenteric ischemia ... right MCA and ischemia ... Transesophageal #Ultrasound
Noncardiogenic Pulmonary Edema - Differential Diagnosis Framework

NCPE Pathophysiology:
Noncardiogenic pulmonary edema occurs because of excessive pulmonary capillary
Causes include: ... level <100 pg/ml EKG ... • Negative for ischemic ... use causing non-cardiogenic ... differential #diagnosis #cardiology
Pulmonary Renal Syndromes - OnePager Summary
Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
EGPA) • Digital ischemia ... o infection • Echocardiogram ... recent DAN) • EMG ... Goodpasture's cause ... diagnosis #management #treatment
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
importantly, bedside ultrasound ... ECG is vital while ... is essentially Cardiogenic ... the determined cause ... heartfailure #chf #criticalcare
Perhaps quite too often, the knee-jerk reaction to an elevated Troponin is to call our friends
cannot, coronary ischemia ... treat the primary cause ... #echocardiogram ... management #clinical #criticalcare ... #foamed #treatment
Endocarditis - Overview and Differential Diagnosis Framework

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV
Septic emboli cause ... Early embolic/ischemic ... ↑ ESR, CRP • EKG ... hematuria, + RF Treatment ... Differential #Diagnosis #cardiology