13 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 Cardiac Ischaemia - Guidelines for Crises in Anaesthesia

If the patient is unconscious, signs of cardiac
Intraoperative Cardiac ... consultation with cardiology ... Anesthesiology #Anesthesia ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Leukostasis vs Tumor Lysis Syndrome
Leukostasis:
 • Pathophysiology: Large, immature blasts and high WBC count cause hyperviscosity
, dyspnea, +/- CXR ... unless worrisome EKG ... with tetany or cardiac ... Syndrome #TLS #diagnosis ... #management #hematology
Cardiac Tamponade - Guidelines for Crises in Anaesthesia
Caused by an accumulation of blood, pus, effusion fluid
Cardiac Tamponade ... indicated, start CPR ... Plan definitive management ... Anesthesiology #Anesthesia ... #Management #Workup
Myocarditis 

5 Principles of
Myocarditis:
1. Build clinical suspicion
2. Decide on EMBx
3. Manage acute cardiac injury
4. Manage chronic
Manage acute cardiac ... Pericarditis, Tamponade EKG ... agent, steroids, AC ... #Myocarditis #diagnosis ... #management #cardiology
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia
• Unexplained hypotension
• Unexplained bronchospasm (wheeze may be absent
arrest, start CPR ... alternate vasopressor (e.g ... Anesthesiology #Anesthesia ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Radiation Injury
Acute Radiation Toxicity primarily affects rapidly dividing cells based on dosage
Hematopoiteic - Pancytopenia, Infection
 •
• Onset Hours Cardio ... 1 Gy = ~10,000 CXRs ... Lymphopenia is first lab ... Injury #Toxicity #diagnosis ... #management
Neuroprotection following Cardiac Arrest - Guidelines for Crises in Anaesthesia
Outcome from cardiac arrest is determined by
Obtain 12-lead ECG ... and discuss with cardiology ... ❾ Plan further management ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
complications from anesthesia ... indicated • EKG ... Obtain EKG if: ... medical and surgical management ... stratification #diagnosis
Cardiac Tamponade on POCUS
Hypotension in trauma is not always due to hypovolemia. This was a great
Cardiac Tamponade ... in diagnosing cardiac ... for definitive management ... ultrasound #trauma #cardiology ... #s4c