16 results
Chest Pain - Diagnosis and Workup Algorithm

History and Exam
Acute life-threatening causes:
 • Acute myocardial infarction
 •
Pulmonary embolism • Cardiac ... tamponade • Esophageal ... Initial workup: • EKG ... ultrasound • CXR ... , PT. aPTT • Serial
Pericardial Tamponade
Beck's Triad 
1. Hypotension 
2. Jugular venous distension 
3. Muffled heart sounds 
Patient will be
Pericardial Tamponade ... 1. ... paradoxus - ECG ... #Pericardial #Cardiac ... #Cardiology
Myocarditis 

5 Principles of
Myocarditis:
1. Build clinical suspicion
2. Decide on EMBx
3. Manage acute cardiac injury
4. Manage chronic
Myocarditis: 1. ... Manage acute cardiac ... Pericarditis, Tamponade ... EKG Findings: ... agent, steroids, AC
Adult ACLS - Cardiac Arrest Algorithm - AHA 2020
CPR Quality:
 • Push hard (at least 2
Adult ACLS - Cardiac ... Arrest Algorithm ... pneumothorax, Tamponade ... (cardiac), Toxins ... cardiacarrest #Algorithm
Adult Cardiac Arrest - ACLS Circular Algorithm - AHA 2020
CPR Quality:
 • Push hard (at least
Adult Cardiac Arrest ... ACLS Circular Algorithm ... pneumothorax, Tamponade ... (cardiac), Toxins ... cardiacarrest #Algorithm
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
SHOCK INITIATIVE ALGORITHM ... Ischemic Symptoms  EKG ... ACTIVATE CATH LAB ... Obtain femoral arterial ... Fick calculated cardiac
Complex Pericardial Effusion with Tamponade on POCUS Echocardiogram - A4C
Pt sent to ED c intradialytic hypotension.
Echocardiogram - A4C ... BUN/Cr- 128/9.4. ... stopped after 1 ... K 5.9 without EKG ... Pericardial #Effusion #Cardiac
Amyloidosis on POCUS Echocardiogram - Apical 4 Chamber (A4C)
Pt with systemic AL amyloidosis presents with 1
presents with 1 ... thickening and biatrial ... appearance of heart on CXR ... Echocardiogram #Cardiology ... #A4C
Rheumatic Heart Disease - Mitral Stenosis on Echocardiogram
(1) Thickened and fibrosed MV leaflets - rheumatic etiology
Echocardiogram (1) ... (4) All 4 cardiac ... (7) patient in atrial ... Echocardiogram #clinical #cardiology ... #a4c #thrombus
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
exam Determine Cardiac ... algorithm to determine ... indicated • EKG ... Obtain EKG if: ... postoperative cardiac