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Bradycardia 1) First Steps: IV, O2, Monitors, ECG, Pads on patient, Crash Cart in room. Is patient
Bradycardia 1) ... O2, Monitors, ECG ... Pain • ECG: Bad ... Connect ECG Leads ... #differential #management
Approach to ECGs - Tachy/Bradyarrhythmias Tachyarrhythmias - HR > 100 Wide (1) VT - DANGER (2)
60 (1) Sinus bradycardia ... (2) Sick Sinus Syndrome ... 200ms from longer pause ... bradyarrhythmia #ECG ... #EKG #diagnosis
Bradycardia - Differential Diagnosis • Cardiac disease: Myocardial ischemia / infarction, Myocarditis, Congenital disorders, Cardiomyopathies,
Bradycardia - Differential ... channel blockers, amiodarone ... • Infections (e.g ... Physiological causes ... (e.g. athletes,
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia If prolonged or ≥ 39 C this is a
Surgical devices, e.g ... Sepsis (→ 3-14) e.g ... (e.g. haloperidol ... amphetamines) Toxic: • Radiologic ... Checklist #Diagnosis #Management
Cardiac Stress Testing Exercise: • Everyone who can exercise should! • They must be able to raise
production to cause ... Contraindications: - Bradycardia ... arrythmias Diagnostics: EKG ... Stress #Testing #cardiology ... #management #diagnosis
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
hypertension, tachy- or bradycardia ... trolley and 12-lead ECG ... CM5 continuous ECG ... Obtain a 12-lead ECG ... Checklist #Diagnosis #Management
Acute Respiratory Distress Syndrome – ARDS: Clinical Cheat Sheet An acute diffuse, inflammatory lung injury, leading to
Respiratory Distress Syndrome ... objective assessment“ (e.g ... there is no clear cause ... RespiratoryDistress #Syndrome ... #CriticalCare
Palpitations - Differential Diagnosis Framework What? • It is an unpleasant awareness or sensation that the heart is
exam • 12-lead ECG ... fibrillation/flutter • Bradycardia ... Valvular disease (e.g ... disease • Severe bradycardia ... #Palpitations #Cardiology
Amiodarone Induced Lung Toxicity Summary Who? • 5% of patients • Dose ≥ 400 mg per day How? Possible
Acute toxicity (e.g ... respiratory distress syndrome ... Chronic toxicity (e.g ... Exclude other causes ... Pulmonary #diagnosis #management
Intraoperative Bradycardia - Guidelines for Crises in Anaesthesia Bradycardia in theatre should not be treated as
Breathing • Check chest ... Consider known drug causes ... (eg. remifentanil ... Checklist #Diagnosis #Management ... #Workup #Cardiology
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