11 results
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia

If the patient is unconscious, signs of cardiac
of cardiac ischaemia ... symptoms may include chest ... trolley and 12-lead ECG ... CM5 continuous ECG ... Obtain a 12-lead ECG
Atrial Fibrillation Overview

Symptoms:
Palpitations, light-headedness, dizziness, dyspnea, exercise intolerance, chest pain, near-syncope, syncope.

1. Why?
Cardiac:
• Valvular heart disease
•
Atrial Fibrillation ... exercise intolerance, chest ... Cardiac: • Valvular ... Decompensated HF • New ischemia ... #Management #Algorithm
Chest Pain - Diagnosis and Workup Algorithm

History and Exam
Acute life-threatening causes:
 • Acute myocardial infarction
 •
Chest Pain - Diagnosis ... and Workup Algorithm ... Pulmonary embolism • Cardiac ... : • EKG • Bedside ... MatthewHoMD #Chest
Severe Asthma Algorithm - Management of Life-Threatening Asthma in the Emergency Department
Step One
1. Nebulized Albuterol
2. Nebulized
Severe Asthma Algorithm ... Diagnostics: Chest ... HCG, ECG if concern ... non-sinus rhythm or cardiac ... ischemia Dr.
Bradycardia
1) First Steps: IV, O2, Monitors, ECG, Pads on patient, Crash Cart in room. Is patient
O2, Monitors, ECG ... SOB from CHF, Chest ... Pain • ECG: Bad ... Ischemia? ... Patients DIE: Drugs, Ischemia
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
accompanied by chest ... accompanied by chest ... deviation) • Acute ischemia ... #Equivalents #ECG ... #EKG #diagnosis
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
SHOCK INITIATIVE ALGORITHM ... Infarction  Ischemic ... Symptoms  EKG ... Obtain femoral arterial ... Fick calculated cardiac
Pulmonary Renal Syndromes - OnePager Summary
Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
EGPA) • Digital ischemia ... mononeuritis multiplex WORKUP ... chest to evaluate ... recent DAN) • EMG ... typically seen on chest
Hypotension - Guidelines for Crises in Anaesthesia

Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
Breathing • Check chest ... and positioning (e.g ... ischaemia → 3-12 ... Endocrine cause (eg ... Diagnosis #Management #Workup
Intraoperative Hypoxia / Desaturation / Cyanosis - Guidelines for Crises in Anaesthesia
Using these steps from start
Breathing • Check chest ... blood gas, 12-lead ECG ... , chest X-ray. ... • Asymmetrical chest ... ischaemia (or infarction