13 results
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
DETROIT CARDIOGENIC ... Infarction  Ischemic ... Symptoms  EKG ... DCSI #Initiative #Management ... #Cardiology
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
- Ischemia MI ... = Biomarkers + ECG ... #ECG #EKG #diagnosis ... electrocardiogram #cardiology ... Interpretation #differential
Bradycardia
1) First Steps: IV, O2, Monitors, ECG, Pads on patient, Crash Cart in room. Is patient
O2, Monitors, ECG ... Chest Pain • ECG ... Connect ECG Leads ... #diagnosis #differential ... #management #cardiology
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia

If the patient is unconscious, signs of cardiac
hypertension, tachy- or bradycardia ... trolley and 12-lead ECG ... CM5 continuous ECG ... Obtain a 12-lead ECG ... consultation with cardiology
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
on ECG • Conventional ... deviation) • Acute ischemia ... #Equivalents #ECG ... #EKG #diagnosis ... #differential #
Initial assessment and management of coma in pediatric population.

Airway - is it secure? 
Breathing — is
assessment and management ... Scale Exposure - e.g ... - Bradycardia and ... impending brain stem ... Pediatrics #Peds #ABCs #CriticalCare
Bradycardia - Differential Diagnosis 
 • Cardiac disease: Myocardial ischemia / infarction, Myocarditis, Congenital disorders, Cardiomyopathies,
Bradycardia - Differential ... disease: Myocardial ischemia ... • Infections (e.g ... #Differential # ... Diagnosis #cardiology
Noncardiogenic Pulmonary Edema - Differential Diagnosis Framework

NCPE Pathophysiology:
Noncardiogenic pulmonary edema occurs because of excessive pulmonary capillary
Pulmonary Edema - Differential ... level <100 pg/ml EKG ... ischemic changes ... #edema #NCPE #differential ... #diagnosis #cardiology
Myasthenic Crisis Checklist - Myasthenia Gravis

Evaluation 
 - Chest X-ray and lung ultrasound (exclude other lung
Phos), CBC with differential ... oral secretions (e.g ... Do not measure negative ... MyastheniaGravis #Checklist #Management ... #CriticalCare
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
• Coagulase-negative ... Early embolic/ischemic ... Marantic (NTBE) Differential ... ↑ ESR, CRP • EKG ... #cardiology