11 results
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Shock - Management ... Liver function tests ... (no B-lines on ultrasound ... #Checklist #CHF ... #HeartFailure #Cardiology
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
DETROIT CARDIOGENIC ... Obtain femoral arterial ... visualization with use of ultrasound ... DCSI #Initiative #Management ... #Cardiology
Myocarditis 

5 Principles of
Myocarditis:
1. Build clinical suspicion
2. Decide on EMBx
3. Manage acute cardiac injury
4. Manage chronic
Build clinical suspicion ... Fulminant: - Acute HF ... , Cardiogenic shock ... Myocarditis #diagnosis #management ... #cardiology #summary
Atrial Fibrillation (A-Fib) Summary

Symptoms:
• Palpitations, light-headedness, dizziness, dyspnea, exercise intolerance, chest pain, near-syncope, syncope.

Why?
Cardiac:
	• Valvular heart
Atrial Fibrillation ... Decompensated HF ... serum creatinine, test ... AFib #diagnosis #management ... #cardiology
Mallet Finger
Absence of a fracture does NOT exclude Mallet finger, the extension function of the DIP
joint needs to be clinically ... Hyperflexion injury with axial ... fracture • ED Management ... 1 week MH/CCF ... Mallet #Finger #Radiology
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
importantly, bedside ultrasound ... is essentially Cardiogenic ... differential #algorithm #management ... #cardiology #treatment ... #heartfailure #chf
Peripartum Cardiomyopathy - Summary
1. Definition
 • Towards the end of pregnancy to 5 months postpartum
Clinical • Under-recognized ... May have typical HF ... Minority of Pts: cardiogenic ... Serial TTE and close ... #cardiology #treatment
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
disease b) CHF ... determine if stress test ... Change in clinical ... one post op Cardiology ... medical and surgical management
Cardiac Tamponade on POCUS
Hypotension in trauma is not always due to hypovolemia. This was a great
for definitive management ... - MH/CCF/CWRU ... Tamponade #POCUS #clinical ... #ultrasound #trauma ... #cardiology #s4c
Cardiac LV Thrombus on Echocardiogram (A4C)
48 year old woman in ICU for acute ischemic limb. PMHx
PMHx recent CHF, ... then the next tests ... are not POCUS: serial ... Echocardiogram #A4C #clinical ... #cardiology