57 results
Decision tree of FALLS-protocol (Fluid Administration Limited by Lung Sonography). Lung Ultrasound in the hemodynamic assessment
Lung Ultrasound ... assessment of Shock ... classification, cardiac ... and lung ultrasound ... FALLS #protocol #algorithm
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
INITIATIVE ALGORITHM ... Ischemic Symptoms  EKG ... visualization with use of ultrasound ... Fick calculated cardiac ... #Algorithm #DCSI
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 ... HF, Cardiogenic shock ... Low voltage Treatment ... agent, steroids, AC
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Setup - Ultrasound ... telemetry, 12-Lead EKG ... dilated IVC - Cardiac ... Cardiac surgery? ... #criticalcare #treatment
Cardiac Rupture with Pericardial Effusion

Apical 4 chamber. Note larger right sided pericardial effusion with significant compression
Cardiac Rupture ... concerning for cardiac ... Shortly after had cardiac ... Echocardiogram #ultrasound ... #Cardiology #A4c
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Shock - Differential ... Pneumothorax, Cardiac ... Treatment Goals ... #criticalcare #algorithm ... #treatment #management
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
gallop • Abnormal ECG ... • Cardiogenic shock ... , sudden cardiac ... Diagnosis #Management #Cardiology
Pediatric SVT - Management Algorithm
Identify SVT:
 • HR not variable
 • Abrupt rate changes
 • Infants:
SVT - Management Algorithm ... : HR > 180bpm ECG ... Signs of shock or ... tachycardia #Management #Algorithm ... peds #Pediatric #treatment
Takotsubo Cardiomyopathy on POCUS

78 year old woman - Acute delirium but complaining of chest pain 
ECG:
of chest pain ECG ... chest leads Cardiac ... Cardiomyopathy #POCUS #Ultrasound ... Echocardiogram #Cardiology
Pericardial Tamponade
Beck's Triad 
1. Hypotension 
2. Jugular venous distension 
3. Muffled heart sounds 
Patient will be
paradoxus - ECG ... collapse of RV - Treatment ... #Pericardial #Cardiac ... Triad #Diagnosis #Cardiology