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diagnosis cardiology ecg electrocardiogram algorithm causes clinical disorders equivalents acute cardiogenic checklist chronic circumflex criticalcare d1 dcsi detroit dewinter diagonal1
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
Approach to ECGs - Ischemia MI = Biomarkers + ECG or echo/angiogram findings Pathologic Q - 1/3 height
have no pain - LAD ... avR - proximal LAD ... disease - ST depression ... #EKG #diagnosis ... Interpretation #differential
Mid Left Circumflex STEMI on ECG This patient who had cp for 1 hour had a 100%
STEMI on ECG ... reciprocal st depressions ... frequently missed stemi ... #Circumflex #STEMI ... #ECG #EKG #Electrocardiogram
STEMI Equivalents on ECG • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
• Sgarbossa criterion ... V6 • Sgarbossa criterion ... • Sgarbossa criterion ... #EKG #diagnosis ... #differential #
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
Hypoxemia / Hypoxia - Rapid Response Management Algorithm Stridor - Upper airway pathology: • Anaphylaxis • Foreign
Rapid Response Management ... Hypoventilation: • CNS depression ... By Matthew Ho, MD ... Hypoxemia #Hypoxia #differential ... #Diagnosis #Management
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