15 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
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 ... recurs. ❿ Plan ... Diagnosis #Management #Workup
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?
Double Valve Sign - Type A Aortic Dissection on POCUS Echocardiogram

STEMI on EKG: check the echo!
Echocardiogram STEMI on EKG ... Can you spot the ... - VCU Ultrasound ... Echocardiogram #cardiology ... #clinical #plax
Septal Hypertrophic Cardiomyopathy (HOCM)

52yo worsening exertional sx and murmur. EKG nonspecific, Serial trops (-) 
EM resident
EKG nonspecific, ... Admit ==> Positive ... Metoprolol - VCU Ultrasound ... echocardiogram #plax ... #cardiology #pocus
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 ... Diagnosis #Management #Workup
Neuroprotection following Cardiac Arrest - Guidelines for Crises in Anaesthesia
Outcome from cardiac arrest is determined by
events. ❷ Use positive ... Obtain 12-lead ECG ... and discuss with cardiology ... develop (Box B). ❾ Plan ... Diagnosis #Management #Workup
Cardiac Arrest - Guidelines for Crises in Anaesthesia

The probable cause is one or more of: something
Cardiac Arrest - ... Airway • Check position ... • Check ECG rhythm ... Hypothermia Tamponade ... Diagnosis #Management #Workup
Complex Pericardial Effusion with Tamponade on POCUS Echocardiogram - PLAX
Pt sent to ED c intradialytic hypotension.
Echocardiogram - PLAX ... K 5.9 without EKG ... Pericardial #Effusion #Cardiac ... Echocardiogram #PLAX ... #clinical #cardiology
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
dental procedure • Cardiac ... Blood cultures are positive ... : • New cardiac ... nodes • Roth’s spots ... ↑ ESR, CRP • EKG