13 results
Vasospastic (Prinzmetal) Angina
Definition / Epidemiology:
 • Rest angina attributed to coronary artery vasospasm.
 • Patients often
Epidemiology: • Rest ... angina attributed ... changes on tele/ECG ... perform provocative tests ... #cardiology #diagnosis
Acute Coronary Syndrome (ACS) Definitions - Stable Angina, Unstable Angina, NSTEMI, STEMI
1 STABLE ANGINA - Angina
at rest or progresses ... is reflected by ECG ... #Diagnosis #Cardiology ... GrepMed Recommended Text ... : The Only EKG Book
Chest Pain / ACS Evaluation Algorithm
Algorithm that attempts to the use history taking (guided by LRs),
ACS Evaluation Algorithm ... Algorithm that ... Ask about: - Changes ... - History - EKG ... #cardiology #Angina
ISCHEMIA Trial - Management Algorithm for patients with Stable Angina

Stress Test -> ? +moderate or severe
Trial - Management Algorithm ... patients with Stable Angina ... Stress Test ... ISCHEMIA #Stable #Angina ... #Cardiology #EBM
Vereckie Algorithm - Lead aVR - Ventricular Tachycardia - Telemetry Diagnosis
WCT is VT IF:
 • Initial
Vereckie Algorithm ... or q wave > 40 ms ... #Vereckie #Algorithm ... avr #diagnosis #cardiology ... #ekg #ecg #telemetry
Inpatient Cath Lab Indications
Cath Lab ASAP:
STEMI
NSTEMI:
1. Unstable/cardiogenic shock
2. Severe LV dysfunction or
3. Recurrent/persistent rest angina despite
Recurrent/persistent rest ... angina despite ... low (1-2) risk, +ECG ... catheterization #cardiology
Intraoperative Thompson Test - Assessing the Achilles’ tendon following a surgical repair for rupture. The calf
Intraoperative Thompson Test ... To perform the test ... with their feet hanging ... accessory muscles (eg ... physicalexam #surgery #msk
Mask Oxygen Delivery Devices

Simple Mask aka Hudson's Mask:
 • Flow 6-10 LPM
 • FiO2 35-50%
Face Tent:
Mask Oxygen Delivery ... aka Hudson's Mask ... FiO2 35-50% Face Tent ... (e.g. facial trauma ... management #pulmonary #criticalcare
General schema for respiratory support in patients with COVID-19
Low flow nasal cannula
 • Typically set at
filter • N95 mask ... volumes of ~6 cc/kg ... management #schema #criticalcare ... hypoxia #failure #algorithm
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
event, follow ACC algorithm ... determine if stress test ... indicated • EKG ... Obtain EKG if: ... Unstable Angina