20 results
Chest Pain - Diagnosis and Workup Algorithm

History and Exam
Acute life-threatening causes:
 • Acute myocardial infarction
 •
Diagnosis and Workup ... Pulmonary embolism • Cardiac ... tamponade • Esophageal ... : • EKG • Bedside ... ultrasound
Takotsubo Cardiomyopathy on POCUS

78 year old woman - Acute delirium but complaining of chest pain 
ECG:
Takotsubo Cardiomyopathy ... of chest pain ECG ... chest leads Cardiac ... #POCUS #Ultrasound ... Echocardiogram #Cardiology
Cardiac Tamponade - Guidelines for Crises in Anaesthesia
Caused by an accumulation of blood, pus, effusion fluid
Cardiac Tamponade ... iatrogenic causes, e.g ... pericardiocentesis kit (eg ... Intraoperative #Checklist ... Diagnosis #Management #Workup
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia

If the patient is unconscious, signs of cardiac
trolley and 12-lead ECG ... CM5 continuous ECG ... Obtain a 12-lead ECG ... Intraoperative #Checklist ... Diagnosis #Management #Workup
WOBBLER  for ECG assessment in Syncope 
W - Wolff Parkinson White 
O - Obstructed AV
WOBBLER for ECG ... associated with sudden cardiac ... Mnemonic #Syncope #EKG ... #ECG #Diagnosis ... #Cardiology
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Setup - Ultrasound ... telemetry, 12-Lead EKG ... and Survey 4) Workup ... pericarditis, Pericardial Tamponade ... Cardiac surgery?
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Evaluation - EKG ... (no B-lines on ultrasound ... antiarrhythmics - Ischemic cardiomyopathy ... Nephrotoxins (e.g ... channel blocker (eg
Septal Hypertrophic Cardiomyopathy (HOCM)

52yo worsening exertional sx and murmur. EKG nonspecific, Serial trops (-) 
EM resident
Septal Hypertrophic Cardiomyopathy ... EKG nonspecific, ... Admit ==> Positive ... Metoprolol - VCU Ultrasound ... echocardiogram #plax #cardiology
Hypotension - Guidelines for Crises in Anaesthesia

Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
Airway • Check position ... and positioning (e.g ... tamponade → 3-9 ... Endocrine cause (eg ... Intraoperative #Checklist
Cardiac Arrest - Guidelines for Crises in Anaesthesia

The probable cause is one or more of: something
Airway • Check position ... • Check ECG rhythm ... Hypothermia Tamponade ... CardiacArrest #Checklist ... Diagnosis #Management #Workup