26 results
Typical (Counterclockwise) and Reverse Typical (Clockwise) Atrial Flutter on EKG
Typical (Counterclockwise) Atrial Flutter
 • Inferior leads:
Typical (Clockwise) Atrial ... up, slow down; "negative ... • V1: Broad & negative ... electrocardiogram #cardiology ... #clinical #diagnosis
1. "Sinus Tach" at ~150 bpm is your cue to look for flutter waves
2. Don't trust
#Clinical #EM #Cardiology ... #ECG #Atrial #Flutter
The arrows point to a subendocardial region with poor contrast enhancement due to ischemia. This is
#Clinical #EM #IM ... #Cardiology #Radiology ... Subendocardial #Ischemia #Axial
Apical 4-chamber (A4) Apical 4 Chamber view demonstrating the right ventricle (RV), right atrium (RA), left
ventricle (RV), right atrium ... (LV) and left atrium ... of the septum #Clinical ... #EM #Cardiology
Isthmus Independent Atrial Flutter
 • Rapid atrial activity without typical inferior sawtooth waves suggests CTI-independent flutter
Isthmus Independent Atrial ... Flutter • Rapid atrial ... CTI-independent flutter • Negative ... electrocardiogram #cardiology ... #clinical #diagnosis
COVID-19 Hypoxia Management

Indication for endotracheal intubation?
Tolerating supplemental oxygen?
Consider HFNC
Not tolerating HFNC or HFNC is not available?
Consider
CONSIDER: a trial ... Society of Critical ... management #schema #criticalcare ... hypoxia #failure #algorithm
Negative contrast effect = a washout of the contrast (agitated saline) in the right atrium in
Negative contrast ... ) in the right atrium ... #washout #ASD #atrial ... Echocardiogram #clinical ... #cardiology #pocus
Osborn waves - positive deflections at the J point (negative in aVR and V1) with a
at the J point (negative ... EmergencyMedicine #Cardiology ... #diagnosis #CriticalCare ... Electrocardiogram #ECG #Clinical
Difficult Airway Algorithm

1. Assess the likelihood and clinical impact of basic management problems: 
 • Difficulty
Difficult Airway Algorithm ... likelihood and clinical ... Consider the relative ... Difficult #airway #algorithm ... Anesthesiology #Anesthesia #CriticalCare
Pain, Agitation, and Delirium (PAD) in the ICU
Addressing the ICU Triad (PAD) can be accomplished through
Addressing the ICU Triad ... Spontaneous Awakening Trial ... Family engagement Critical ... will vary with clinical ... Delirium #PAD #ICU #CriticalCare