21 results
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Triage EKG (no prior ... Differential/diagnosis ... Activate cath lab ... Echocardiogram #A4c ... #clinical #cardiology
Intraoperative Circulatory Embolus - Guidelines for Crises in Anaesthesia
Causes: thrombus, fat, amniotic fluid, air/gas.
Signs: hypotension, tachycardia,
over 2 h (>65 kg ... mainstay of initial management ... Anesthesiology #Anesthesia ... Intraoperative #Checklist ... #Diagnosis #Management
Approach to ECGs - Syncope Syndromes
Electrolytes
 • ↑K - brady, peak T, wide QRS, no P,
assoc with 1K, AV block ... HOCM- dagger Q lat ... inf leads, LVH, LAE ... #EKG #Checklist ... #diagnosis #cardiology
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
Endocarditis checklist ... with multiple embolic ... telemetry for heart block ... #criticalcare #diagnosis ... #management
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia
If prolonged or ≥ 39 C this is a
Sepsis (→ 3-14) e.g ... amphetamines) Toxic: • Radiologic ... Anesthesiology #Anesthesia ... #Checklist #Diagnosis ... #Management #Workup
High Central Neuraxial Block - Guidelines for Crises in Anaesthesia
• Can occur with deliberate or accidental
Central Neuraxial Block ... • CPR may be ... • Embolism. ... Intraoperative #Checklist ... #Diagnosis #Management
Intraoperative Massive Blood Loss - Guidelines for Crises in Anaesthesia
Expected or unexpected major haemorrhage

❶ Call for
interventional radiology ... • Use lab testing ... Anesthesiology #Anesthesia ... Intraoperative #Checklist ... #Diagnosis #Management
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Differential Diagnosis ... ↑ ESR, CRP • EKG ... sided IE: heart block ... lesions, heart block ... #management #cardiology
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia

If the patient is unconscious, signs of cardiac
CM5 continuous ECG ... consultation with cardiology ... Anesthesiology #Anesthesia ... Intraoperative #Checklist ... #Diagnosis #Management
Local Anaesthetic Toxicity - Guidelines for Crises in Anaesthesia
Signs of severe toxicity:
 • Sudden alteration in
bradycardia, conduction blocks ... Start continuous CPR ... Anesthesiology #Anesthesia ... Intraoperative #Checklist ... #Diagnosis #Management