26 results
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia
If prolonged or ≥ 39 C this is a
39 C this is a clinical ... Surgical devices, e.g ... Sepsis (→ 3-14) e.g ... (e.g. haloperidol ... #Management #Workup
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Pulmonary Embolism on POCUS ... Triage EKG (no prior ... Differential/diagnosis ... Echocardiogram #A4c ... #clinical #cardiology
Cardiac Tamponade - Guidelines for Crises in Anaesthesia
Caused by an accumulation of blood, pus, effusion fluid
iatrogenic causes, e.g ... pericardiocentesis kit (eg ... tamponade recurs. ❿ Plan ... definitive management ... #Management #Workup
Coronary Ostium Obstruction by Aortic Intimal Flap on Echocardiogram
Aortic intimal flap may alternately obstruct right and
elevations in different ECG ... Flap #dissection #a4c ... #plax #Echocardiogram ... #clinical #cardiology ... #pocus
Intraoperative Sepsis - Guidelines for Crises in Anaesthesia

Severe sepsis (hypotension persisting after initial fluid challenge of
Check serial lactates ... cultures if possible (eg ... plan with intensive ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Anterior Akinesia on POCUS Echocardiogram

Wide complex rhythm seen on monitor. Pulses present. While getting 12 lead
getting 12 lead ECG ... Diagnosis? ... ECG obtained. ... Hypokinesis #RWMA #PLAX ... #clinical
Myocarditis 

5 Principles of
Myocarditis:
1. Build clinical suspicion
2. Decide on EMBx
3. Manage acute cardiac injury
4. Manage chronic
Build clinical suspicion ... Pericarditis, Tamponade EKG ... agent, steroids, AC ... #Myocarditis #diagnosis ... #management #cardiology
Septal Hypertrophic Cardiomyopathy (HOCM)

52yo worsening exertional sx and murmur. EKG nonspecific, Serial trops (-) 
EM resident
EKG nonspecific, ... Serial trops (- ... Cardiomyopathy #HOCM #HCM #clinical ... echocardiogram #plax ... #cardiology #pocus
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
complications from anesthesia ... indicated • EKG ... Obtain EKG if: ... Change in clinical ... - Cataract Plan
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia
• Unexplained hypotension
• Unexplained bronchospasm (wheeze may be absent
alternate vasopressor (e.g ... • Plan for repeat ... feasible (Box B). ⓭ Plan ... Intraoperative #Checklist #Diagnosis ... #Management #Workup