53 results
#EKG taken on a patient with an acute pulmonary embolism with right heart strain showing tachycardia,
#EKG taken on a ... in V1 - V4 #Clinical ... pulmonaryembolism #AcutePE #criticalcare ... #cardiology #ECG
Osborn waves - positive deflections at the J point (negative in aVR and V1) with a
This EKG was recorded ... #EKG #EmergencyMedicine ... Cardiology #diagnosis #CriticalCare ... Electrocardiogram #ECG ... #Clinical
Loperamide and QT Prolongation #Clinical #EM #Cardiology #EKG #QT #Prolongation #QTProlongation #Loperamide #ALiEM
Prolongation #Clinical ... EM #Cardiology #EKG ... QTProlongation #Loperamide #ALiEM
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
if suspected (e.g ... block (+/- daily EKG ... of infection (e.g ... Internet Book of Critical ... Endocarditis #checklist #criticalcare
Checklist Approach to Hypokalemia

Consider risk factors for arrhythmia:
 - EKG changes (especially QT prolongation)
 - Digoxin
arrhythmia: - EKG ... their validity (e.g ... incongruous with clinical ... context & EKG) ... Hypokalemia #Management #CriticalCare
Overview of approach to brain death

Pursuing a diagnosis of brain death too early may lead to
brain activity on neurologic ... with brain death (e.g ... with brain death (e.g ... #Diagnosis #CriticalCare
Principal patterns of loss of sensation.
 (a) Thalamic lesion: sensory loss throughout opposite side (rare).
Central cord lesion, e.g ... column lesion, e.g ... root lesions, e.g ... Comprehensive Review in Clinical ... Neurology - https
Pisa Syndrome (pleurothotonus) on Physical Exam
A tonic flexion of the trunk of the body to one
by: - drugs (e.g ... neurodegenerative disorders (eg ... #PhysicalExam #clinical ... #neurology #posture
Clinical Management for Three Common Causes of Shock 
HEMORRHAGIC SHOCK
 • Ensure adequate ventilation and oxygenation.
Clinical Management ... when possible (eg ... dysrhythmias (eg ... reverse the insult (eg ... Shock #Management #CriticalCare
Wernicke Encephalopathy - Acute Thiamine (B1) Deficiency 
Clinical Diagnosis - Caine Criteria (2 out of 4):
B1) Deficiency Clinical ... abnormalities (eg ... diagnosis #criteria #neurology