11 results
De Winter T Wave ECG Pattern 
STEMI Equivalent - Left anterior descending (LAD) occlusion 

1) Upsloping
Pattern STEMI ... anterior descending (LAD ... 1 mm) 2) ST depressions ... #EKG #Electrocardiogram ... Diagnosis #Cardiology #Criteria
Here’s an ECG of a patient with 100% Acute LAD Occlusion

Remember that RBBB normally has ST
with 100% Acute LAD ... normally has ST Depression ... STEMI Criteria misses ... - Sam Ghali, M.D ... @EM_RESUS #LAD
Mid Left Circumflex STEMI on ECG

This patient who had cp for 1 hour had a 100%
STEMI on ECG ... how subtle an EKG ... reciprocal st depressions ... frequently missed stemi ... #Circumflex #STEMI
High Lateral STEMI - D1 of LAD

There is transmural injury isolated to I & aVL. These
High Lateral STEMI ... similar but this ST Depression ... - Sam Ghali, M.D ... @EM_RESUS #STEMI ... #EKG #Electrocardiogram
Modified Sgarbossa Criteria - Diagnostic Checklist for diagnosing MI in LBBB or Pacemaker
1) Identify LBBB or
Modified Sgarbossa Criteria ... - Fusion: odd ... - Suspect STEMI ... > 1 mm in any lead ... Diagnosis #Checklist #EKG
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
ALGORITHM INCLUSION CRITERIA ... Ischemic Symptoms  EKG ... evidence of AMI (STEMI ... ACTIVATE CATH LAB ... DCSI #Initiative #Management
SSRI Initiation
How long before increasing dose?
 • 4 wks. Initial response in 2-4 wks, max response
Depression: 50% ... 50% reduction in GAD ... before starting new med ... #psychiatry #treatment ... #management
Acute Respiratory Distress Syndrome – ARDS: Clinical Cheat Sheet

An acute diffuse, inflammatory lung injury, leading to
Berlin criteria ... objective assessment“ (e.g ... Management ● Early ... Usama Nasir MD ... #CriticalCare
Pain, Agitation, and Delirium (PAD) in the ICU
Addressing the ICU Triad (PAD) can be accomplished through
not cause resp depression ... out overt resp. depression ... CYP3A4 metabolism (med ... #ICU #CriticalCare ... #diagnosis #management
Admitting in the ICU - Checklist
VITALS: If bad, stop and go see the patient immediately; you
Checklist VITALS: If bad ... esp in work-up/management ... priors (don't miss MDR ... will also get an EKG ... diagnosis #workup #criticalcare