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 ... reciprocal st depressions ... frequently missed stemi ... #Circumflex #STEMI ... #ECG #EKG #Electrocardiogram
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
Causes of Thrombocytopenia and Platelet Disorders - Differential Diagnosis and Workup
History:
 - Prior platelet count, family
Infection exposure (l MD ... HCV testing - Lab ... function test, ANA (e.g ... ), (neurologic/psychiatric ... Causes #Workup #hematology
Consensus Indications for Irradiated RBC Transfusions:

Cellular blood components are irradiated for the prevention of TA-GVHD. Transfused
Hematopoietic stem ... HLA-selected products (e.g ... Daniela Hermelin, MD ... #Indications #Hematology ... #BloodBank #Management
Adult Onset Still's Disease
Systemic inflammation with urticarial rash.
Rash: 
 • Nonpruritic, evanescent (correlates with time of
5 of the below criteria ... a sore throat, LAD ... Prednisone 0.5-1mg/kg ... AOSD #diagnosis #rheumatology ... #management