22 results
Intraoperative Circulatory Embolus - Guidelines for Crises in Anaesthesia
Causes: thrombus, fat, amniotic fluid, air/gas.
Signs: hypotension, tachycardia,
mainstay of initial management ... field to below level ... #Anesthesiology ... Intraoperative #Checklist ... #Diagnosis #Management
RV Strain in Pulmonary Embolism on POCUS Echocardiogram

A patient is brought by EMS intubated and hypotensive.
RV Strain in Pulmonary ... Embolism on POCUS ... your next step in management ... #RVStrain #Pulmonary ... #Embolism #POCUS
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
Endocarditis checklist ... endocarditis w/ septic pulmonary ... • Persistent fever ... with multiple embolic ... #Endocarditis #checklist
Hyperacute Hypoxemia - Workup and Management
Differential Diagnosis: Aspiration, Flash Pulmonary Edema, Mucous Plugging, Bronchospasm, Pulmonary Embolism,
Hypoxemia - Workup and Management ... Aspiration, Flash Pulmonary ... Bronchospasm, Pulmonary ... Embolism, Pneumothorax ... edema), Lung Exam, POCUS
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Cardiogenic Shock - Management ... Checklist Evaluation ... and/or digoxin level ... cardiogenic shock #Checklist ... HeartFailure #Cardiology #Management
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
night sweats, fever ... Cerebral > Splenic, pulmonary ... Injury By: • Early embolic ... • Paradoxical emboli ... Endocarditis #diagnosis #management
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Insufficiency, Liver ... • Obstructive: Pulmonary ... Embolism, Tension ... algorithm #treatment #management
Chest Pain Diagnosis and Management Algorithm
STEMI:
 - Hx: Pressure like CP, Radiation to arm/jaw, CAD risk
Diagnosis and Management ... Limb ischemia Pulmonary ... Embolism: - Hx ... friction rub, Fever ... ChestPain #Diagnosis #Management
Parasternal Short Axis (PSAX) at the level of the Aortic Valve

Phased array transducer; parasternal short axis/indicator
(PSAX) at the level ... heart strain (pulmonary ... even see a saddle embolism ... clinical #cardiology #POCUS
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia
If prolonged or ≥ 39 C this is a
Actively maintained fever ... Differential #Causes #Anesthesiology ... #Anesthesia #Checklist ... #Diagnosis #Management