31 results
Multifocal Atrial Tachycardia (MAT)
• At least 3 different P wave morphologies: 
• Rate 100-180
• Irregular 
Etiology
• Hypoxia • Pulmonary ... • Oxygen • Treatment ... Tachycardia #MAT #Cardiology ... #Diagnosis #ECG ... #EKG #Management
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
on POCUS Echocardiogram ... 's female with chest ... Triage EKG (no prior ... Embolism #POCUS #Echocardiogram ... A4c #clinical #cardiology
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
endocarditis w/ septic pulmonary ... if suspected (e.g ... block (+/- daily EKG ... of infection (e.g ... Endocarditis #checklist #criticalcare
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
intolerance • Chest ... gallop • Abnormal ECG ... , echocardiogram ... cardiac death Management ... #Cardiology
Medical Management of Acute RV Failure
 • Evaluate and Treat Etiology of RV Failure [e.g. Acute
Medical Management ... of RV Failure [e.g ... involving RV, Pulmonary ... rightventricular #cardiology ... #management #treatment
Hyperacute Hypoxemia - Workup and Management
Differential Diagnosis: Aspiration, Flash Pulmonary Edema, Mucous Plugging, Bronchospasm, Pulmonary Embolism,
Aspiration, Flash Pulmonary ... Bronchospasm, Pulmonary ... STAT CXR, CTA Chest ... , Echocardiogram ... #treatment #criticalcare
Massive Hemoptysis - Diagnosis and Management
 • Definitions: 
   - Hemoptysis = bleeding from
Diagnosis and Management ... respiratory tract (e.g ... • Airway Management ... #treatment #workup ... #pulmonary #criticalcare
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Evaluation - EKG ... Revascularization, treatment ... Nephrotoxins (e.g ... channel blocker (eg ... #Management
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
Treatment of Stable ... Control rate (e.g ... with caution in pulmonary ... Control rate (e.g ... #management #cardiology
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
• Obstructive: Pulmonary ... Abdominal compartment syndrome ... ) UOP > 0.5 cc/kg ... Differential #Diagnosis #criticalcare ... #management