37 results
Pericardial Tamponade
Beck's Triad 
1. Hypotension 
2. Jugular venous distension 
3. Muffled heart sounds 
Patient will be
Pericardial Tamponade ... paradoxus - ECG ... low voltage QRS, electrical ... #Pericardial #Cardiac ... Triad #Diagnosis #Cardiology
Electrical alternans from a swinging heart in pre tamponade. 

Echo from same patient: https://www.grepmed.com/images/4744
 
- Brian
Electrical alternans ... swinging heart in pre tamponade ... MD @bkolskk #Electrical ... #alternans #ECG ... #EKG #Cardiology
Cardiac Rupture with Pericardial Effusion

Apical 4 chamber. Note larger right sided pericardial effusion with significant compression
Cardiac Rupture ... concerning for cardiac ... pericardial #effusion #tamponade ... Echocardiogram #ultrasound #Cardiology ... #A4c #clinical
Evaluation of Electrical Injury in the Emergency Department 

Common Injuries by System:

CNS - Seizure, coma, spinal
Evaluation of Electrical ... high voltage Cardiac ... especially with AC ... hemotympanum #Electrical ... Management #Emergency #Algorithm
Cardiac tamponade - a swinging heart of electrical alternans on Echocardiogram - PSAX

- Ivan Stankovic, MD,
Cardiac tamponade ... swinging heart of electrical ... Ivan_Echocardio #Cardiac ... #tamponade #electrical ... PSAX #clinical #cardiology
Large Pericardial Effusion on POCUS 

Good example of swinging heart in pre tamponade. Reason for electrical
swinging heart in pre tamponade ... Reason for electrical ... EKG from same patient ... Echocardiogram #A4C ... #Clinical #Cardiology
Arrhythmias - Differential Diagnosis Algorithm
May present as: palpitations, dizziness, syncope, chest discomfort
Cardiac Causes:
 - Structural
Differential Diagnosis Algorithm ... chest discomfort Cardiac ... Cardiomyopathy - Electrical ... previous MI) Non-Cardiac ... #Arrhythmias #Cardiology
Toaster Electrocution Electrical Injury
Primary determination of injury extent = amount of CURRENT flowing through body.
VARIABLES: voltage,
Electrocution Electrical ... type of current (AC ... Electric Arc- associated ... (lightening) AC ... EKG, labs, cardiac
Chest Pain - Diagnosis and Workup Algorithm

History and Exam
Acute life-threatening causes:
 • Acute myocardial infarction
 •
Diagnosis and Workup Algorithm ... Pulmonary embolism • Cardiac ... tamponade • Esophageal ... Initial workup: • EKG ... Pain #Diagnosis #Algorithm
Myocarditis 

5 Principles of
Myocarditis:
1. Build clinical suspicion
2. Decide on EMBx
3. Manage acute cardiac injury
4. Manage chronic
Manage acute cardiac ... Manage chronic cardiac ... Pericarditis, Tamponade ... EKG Findings: ... agent, steroids, AC