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diagnosis cardiology electrocardiogram differential twaves equivalents airway algorithm cardiogenic clinical criticalcare dcsi detroit emergencies encephalopathy hematology hemeonc hemophagocytic hlh initiative
De Winter T Wave ECG Pattern STEMI Equivalent - Left anterior descending (LAD) occlusion 1) Upsloping
ECG Pattern STEMI ... Equivalent - Left anterior ... precordial leads #DeWinter ... #TWaves #ECG #EKG ... Diagnosis #Cardiology #Criteria
De Winter T-Waves on EKG - Anterior OMI - 2% of left anterior descending occlusions -
on EKG - Anterior ... - 2% of left anterior ... before or after STEMI ... Team @FOAMfrat #DeWinter ... #TWaves #EKG #ECG
De Winter T Wave on ECG Diagnostic Criteria - Tall, prominent, symmetric T waves in the precordial
on ECG Diagnostic ... Criteria - Tall ... aVR - “Normal” STEMI ... pattern #DeWinter ... #TWaves #ECG #EKG
STEMI Equivalents on ECG • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
on ECG • Conventional ... J point • De Winter ... • Sgarbossa criterion ... #Equivalents #ECG ... #EKG #diagnosis
Approach to ECGs - Ischemia MI = Biomarkers + ECG or echo/angiogram findings Pathologic Q - 1/3 height
= Biomarkers + ECG ... bigger than QRS - deWinter ... in avL - early inferior ... #Ischemia #ECG ... #EKG #diagnosis
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM INCLUSION CRITERIA Acute Myocardial Infarction  Ischemic Symptoms  EKG and/or biomarker evidence of AMI
ALGORITHM INCLUSION CRITERIA ... Ischemic Symptoms  EKG ... evidence of AMI (STEMI ... Index < 2.2 AND anatomy ... DCSI #Initiative #Management
Paracentesis Anatomy Landmarks Don't hit the inferior epigastric artery!!! Go 2cm below the umbilicus in the midline
Paracentesis Anatomy ... medial to the anterior ... of coagulation (e.g ... Paracentesis #Landmarks #anatomy ... #management
Posterior Reversible Encephalopathy Syndrome (PRES) Overview Clinico-Radiological Syndrome, characterized by: • Headache • Seizures • Altered mental
bone marrow or stem ... on MRA/CTA • Anterior ... • EEG: With persistent ... Syndrome #diagnosis #management
Approach to Tracheostomy Emergencies - OnePager Summary COMPONENTS OF A TRACHEOSTOMY TUBE: • Obturator - inserted into
Call for help (e.g ... stoma and pull anteriorly ... Surgical management ... #differential #management ... criticalcare #airway #anatomy
Hemophagocytic Lymphohistiocytosis (HLH) High mortality without prompt recognition and management. HLH is a critical diagnostic consideration in
▪ Infections (e.g ... pro-inflammatory cytokines (e.g ... Immunosuppression (e.g ... Hematopoietic stem ... anti-IFN-γ antibodies (e.g
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