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diagnosis cardiology differential checklist workup anesthesia anesthesiology criticalcare intraoperative ppm algorithm airway bradycardia pharmacology settings treatment decisionaid foamed hemorrhage icu
Temporary / External Pacing • Transvenous & epicardial pacing are temporary methods of supporting brady- &
Temporary / External Pacing ... permanent implanted pacemaker ... External cardiac pacing ... MD @nickmmark #pacemaker ... cardiology #diagnosis #management
Pacemaker Complications • Implantation-Related: Pocket hematoma, Infection (pocket), Pneumothorax, Hemothorax, Lead dislodgement, Cardiac perforation / tamponade
Pacemaker Complications ... Thrombosis / stenosis, Pacing-induced ... cardiomyopathy, Pacemaker ... /EricsMedi #Pacemaker ... complications #cardiology #management
Bradycardia 1) First Steps: IV, O2, Monitors, ECG, Pads on patient, Crash Cart in room. Is patient
O2, Monitors, ECG ... • ECG: Bad block ... Set pacemaker to ... Start pacing. ... #differential #management
Pacemaker Operating Modes 1 - Chamber paced A (atrium), V (ventricle), D (dual/both) 2
Pacemaker Operating ... depolarization before pacing ... inhibit or trigger a pacing ... Operating #Modes #Pacing ... settings #cardiology #management
Summary of Heart Blocks 1st Degree Heart Block: • Prolonged PR >200ms (5 small squares). • Narrow
Brady Management ... • Treatment: Pacemaker ... • Treatment: Pacemaker ... summary #Diagnosis #EKG ... electrocardiogram #ecg
Overall schema for resuscitation of the bradycardic periarresting patient A patient with bradycardic periarrest may be rescued
medical therapy (e.g ... electrical therapy (e.g ... transcutaneous pacing ... #Management #Bradycardia
Cardiac Stress Testing Exercise: • Everyone who can exercise should! • They must be able to raise
heartblock w/o pacemaker ... arrythmias Diagnostics: EKG ... Testing #cardiology #management
Recurrent Polymorphic VT/Torsades de Pointes - Management Algorithm Drugs that prolong QT interval: • Class 1a (quinidine,
Torsades de Pointes - Management ... • Adult: 0.5-5 mcg ... Pediatric: 0.1-1 mcg ... • Overdrive pacing ... TorsadesdePointes #TDP #Management
CDC TETANUS VACCINATION GUIDELINES FOR WOUNDS Dirty wounds pose an increased risk for tetanus. Clinicians should consider
feces, or saliva (e.g ... contaminated, possibly posing ... devitalized tissue (e.g ... clinicians.html #Management
Postpartum Hemorrhage - Differential Diagnosis, Examination and Management Uterotonic Medications (after delivery of the placenta): • Oxytocin
Examination and Management ... contraction: 0.25 mcg ... contraction): 600-1000 mcg ... tamponade • Uterine packing ... #Examination #Management
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