14 results
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Checklist Evaluation ... - EKG & echocardiography ... Revascularization, treatment ... shock #Checklist ... #CHF #Shock #Cardiogenic
Myocarditis 

5 Principles of
Myocarditis:
1. Build clinical suspicion
2. Decide on EMBx
3. Manage acute cardiac injury
4. Manage chronic
Treat myocarditis ... , Cardiogenic shock ... Pericarditis, Tamponade EKG ... Low voltage Treatment ... #Myocarditis #diagnosis
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Diagnosis Framework ... High SVR: • Cardiogenic ... Decompensated CHF ... Pneumothorax, Cardiac ... ) UOP > 0.5 cc/kg
Approach to Undifferentiated Shock - OnePager Summary
Shock occurs when there is inadequate blood flow (CO) &
essential to determine treatment ... 4 categories: cardiogenic ... Toxins (CCB, BB, BRASH ... Pneumothorax, Cardiac ... #diagnosis #differential
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia

If the patient is unconscious, signs of cardiac
Intraoperative Cardiac ... consultation with cardiology ... Anesthesiology #Anesthesia ... Intraoperative #Checklist ... #Diagnosis #Management
Inpatient Cath Lab Indications
Cath Lab ASAP:
STEMI
NSTEMI:
1. Unstable/cardiogenic shock
2. Severe LV dysfunction or
3. Recurrent/persistent rest angina despite
Unstable/cardiogenic ... shock 2. ... low (1-2) risk, +ECG ... Rx: NSTEMI/UA: stable ... #Indications #Cardiac
Intraoperative Sepsis - Guidelines for Crises in Anaesthesia

Severe sepsis (hypotension persisting after initial fluid challenge of
cause) or septic shock ... Consider monitoring cardiac ... Anesthesiology #Anesthesia ... Intraoperative #Checklist ... #Diagnosis #Management
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia
• Unexplained hypotension
• Unexplained bronchospasm (wheeze may be absent
trolley, anaphylaxis treatment ... Give drugs to treat ... as patient is stable ... Intraoperative #Checklist ... #Diagnosis #Management
Intraoperative Tachycardia - Guidelines for Crises in Anaesthesia
Tachycardia in theatre is often due to inadequate depth
remember to tailor treatment ... symmetry, rate, breath ... hypovolaemia; primary cardiac ... Intraoperative #Checklist ... #Diagnosis #Management
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
is essentially Cardiogenic ... Shock. ... Cardiac cath if ... #treatment #table ... #heartfailure #chf