22 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
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Diagnosis and Management ... Setup - Ultrasound ... telemetry, 12-Lead EKG ... pericarditis, Pericardial Tamponade ... Cardiac surgery?
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 ... Plan definitive management ... #Workup
Cardiac Event Monitoring Devices - Compared
Ambulatory ECG (Hotter):
 • Advantages: Continuous recording, records asx events, all
Cardiac Event Monitoring ... Compared Ambulatory ECG ... events, all (most) ECG ... Disadvantages: Short ... #management #holter
Myocarditis 

5 Principles of
Myocarditis:
1. Build clinical suspicion
2. Decide on EMBx
3. Manage acute cardiac injury
4. Manage chronic
Manage acute cardiac ... Pericarditis, Tamponade ... EKG Findings: ... Myocarditis #diagnosis #management ... #cardiology #summary
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 ... Checklist #Diagnosis #Management ... #Workup
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
Ischemic Symptoms  EKG ... visualization with use of ultrasound ... Fick calculated cardiac ... DCSI #Initiative #Management ... #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 ... #Workup
Intraoperative Circulatory Embolus - Guidelines for Crises in Anaesthesia
Causes: thrombus, fat, amniotic fluid, air/gas.
Signs: hypotension, tachycardia,
unexplained loss of cardiac ... Consider thrombolysis e.g ... over 2 h (>65 kg ... in left lateral position ... #Workup
Cardiac Arrest - Guidelines for Crises in Anaesthesia

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