36 results
Osborn waves - positive deflections at the J point (negative in aVR and V1) with a
Osborn waves - positive ... This EKG was recorded ... #EKG #EmergencyMedicine ... Cardiology #diagnosis #CriticalCare ... Electrocardiogram #ECG
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
if suspected (e.g ... Persistent fever, positive ... block (+/- daily EKG ... of infection (e.g ... Endocarditis #checklist #criticalcare
Bleeding Risk for Various Invasive/Surgical Procedures
Low Risk:
 • Dental extractions (1 or 2 teeth), endodontic (root
(e.g. biopsy) ... (e.g. thoracentesis ... (e.g. bone marrow ... (e.g. multiple ... spinal or epidural) anesthesia
Checklist for Evaluation of New-Onset Delirium in the ICU

Initial assessment 
 - 
Vital signs, neuro exam
recent events/procedures ... Relevant drug levels (e.g ... rigidity) Consider EEG ... #Workup #MICU #CriticalCare
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
Equivalents on ECG ... segment at (or 40-60 ms ... continues into tall, positive ... #Equivalents #ECG ... #EKG #diagnosis
Can’t Intubate, Can’t Oxygenate (CICO) - Guidelines for Crises in Anaesthesia
This is the last resort when
for Crises in Anaesthesia ... place and maintain anaesthesia ... airway expertise e.g ... extension. ❽ Operator position ... Anesthesiology #Anesthesia
Pancreatitis management checklist 
Evaluation to guide etiology & management 
 - RUQ ultrasound 
 - Calcium
septic shock (e.g ... resuscitation (e.g ... balance >3-4 liters positive ... choledolithiasis (e.g ... Diagnosis #Management #CriticalCare
Practice Guidelines for Preoperative Fasting

Infographic by Dr. Jesse Burk-Rafel
@jbrafel

> 8 hours - Heavy foods (fried/fatty) and
- Light meal (e.g ... clear liquids (e.g ... undergoing Elective Procedures ... Fasting #Guidelines #Anesthesia
Intraoperative Tachycardia - Guidelines for Crises in Anaesthesia
Tachycardia in theatre is often due to inadequate depth
for Crises in Anaesthesia ... inadequate depth of anaesthesia ... Airway • Check position ... obtain 12-lead ECG ... Anesthesiology #Anesthesia
Intraoperative Circulatory Embolus - Guidelines for Crises in Anaesthesia
Causes: thrombus, fat, amniotic fluid, air/gas.
Signs: hypotension, tachycardia,
for Crises in Anaesthesia ... Consider thrombolysis e.g ... over 2 h (>65 kg ... in left lateral position ... Anesthesiology #Anesthesia