81 results
Managing Pain, Anxiety and Delirium in the ICU

Nick Mark MD @nickmmark

#Pain #Anxiety #Delirium #CriticalCare #Comparison #Management
Delirium in the ICU ... #CriticalCare #Comparison ... #Management #Diagnosis ... #ICU
Typical (Counterclockwise) and Reverse Typical (Clockwise) Atrial Flutter on EKG
Typical (Counterclockwise) Atrial Flutter
 • Inferior leads:
up, slow down; "negative ... • V1: Broad & negative ... Flutter #aflutter #ecg ... cardiology #clinical #diagnosis ... #comparison
Torsades de Pointes
• "Twisting of the pointes" 
• QRS axis swings from positive to negative direction
from positive to negative ... Originates from single focus ... quridine) Class IC ... TorsadesDePointes #Diagnosis ... #Cardiology #ECG
Approach to ECGs - VT vs. SVT - Wide Tachycardias
DDx = VT vs. SVT with BBB
All
entirely positive or negative ... positive in aVR and negative ... - Fusion beats ... VT #VTach #SVT #Comparison ... #diagnosis #electrocardiogram
Main Lung Ultrasound differences between COVID-19 involvement and other conditions that may yield respiratory symptoms
 •
Large pleural effusion ... localized pleural effusion ... areas #COVID19 #POCUS ... Lung #Ultrasound #Comparison ... #Table #Diagnosis
Brugada syndrome Types 1, 2 and 3

There are three types of ECG presentations, referred to as
three types of ECG ... most typical (and diagnostic ... The T-wave is negative ... #Diagnosis #ECG ... #Comparison #Types
Hemorrhagic Pericardial Effusions (Hemopericardium)- Differential Diagnosis Framework

IATROGENIC DISEASE
Secondary to invasive cardiac procedures

NONIATROGENIC
• Malignancy (e.g., metastatic spread:
Hemorrhagic Pericardial Effusions ... - Differential Diagnosis ... • Malignancy (e.g ... may have false negative ... #Differential #Diagnosis
Pain, Agitation, and Delirium (PAD) in the ICU
Addressing the ICU Triad (PAD) can be accomplished through
line non-benzo sedative ... Propofol infusion ... used as first sedative ... #CriticalCare #diagnosis ... #management
Modified Sgarbossa Criteria - Diagnostic Checklist for diagnosing MI in LBBB or Pacemaker
1) Identify LBBB or
Sgarbossa Criteria - Diagnostic ... Checklist for diagnosing ... 2ms spike - Fusion ... #Checklist #EKG ... electrocardiogram #ecg
VT versus SVT with Aberration - Interpretation Cheat Sheet

Features favouring VT
● Absence of typical RBBB or
a VT run) and fusion ... ● Positive or negative ... Positive or negative ... Aberration #Aberrancy #Comparison ... #Diagnosis #Cardiology