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diagnosis differential endocarditis risk shock treatment activation cardiacarrest cardiomyopathy cathlab chf clinical comatose dcsi detroit edema evaluation foamed heartfailure icu
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM INCLUSION CRITERIA Acute Myocardial Infarction  Ischemic Symptoms  EKG and/or biomarker evidence of AMI
evidence of AMI (STEMI ... or NSTEMI) Cardiogenic ... ACTIVATE CATH LAB ... DCSI #Initiative #Management ... #Cardiology
Noncardiogenic Pulmonary Edema - Differential Diagnosis Framework NCPE Pathophysiology: Noncardiogenic pulmonary edema occurs because of excessive pulmonary capillary
level <100 pg/ml EKG ... : • Negative for ... size: Normal ECHO ... use causing non-cardiogenic ... differential #diagnosis #cardiology
In July 2015 the ACC/AHA proposed and published an algorithm to help stratify cardiac arrest patients
and published an algorithm ... emergent cath lab ... Comatose #CathLab #NSTEMI ... Stratfication #Management ... #Cardiology #CriticalCare
Shock - Diagnosis and Management Summary • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Diagnosis and Management ... EKG • Ensure ... Tamponade - Pulmonary ... resuscitation • Cardiogenic ... #Summary #criticalcare
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
with presence of pulmonary ... ECG is vital while ... have achieved negative ... , ECMO). ... #management #cardiology
ECMO Troubleshooting - OnePager Summary ECMO Emergency Protocol - Team should train/practice & have necessary supplies at
ECMO Troubleshooting ... time, this may lead ... CO2 production (e.g ... #differential #management ... #criticalcare
Endocarditis Summary Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV substance use • IV catheter • Recent
• Coagulase-negative ... Cerebral > Splenic, pulmonary ... ↑ ESR, CRP • EKG ... Endocarditis #diagnosis #management ... #cardiology
Preoperative Risk Evaluation Major Pre-Op Questions: 1. Does the patient have any modifiable risk factors that could be
murmur 3/6) - Pulmonary ... event, follow ACC algorithm ... days before Pulmonary ... one post op Cardiology ... medical and surgical management
Endocarditis - Overview and Differential Diagnosis Framework Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV
aureus, Coagulase-negative ... Cerebral > Splenic, Pulmonary ... cultures • 2D Echo ... ↑ ESR, CRP • EKG ... Differential #Diagnosis #cardiology
Peripartum Cardiomyopathy (PPCM) What is PPCM? • A form of acute systolic heart failure that develops late in
escalate to: ⚠️ Cardiogenic ... dysfunction • Pulmonary ... patients require LVAD ... recognition and management ... Cardiomyopathy #Cardiology
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