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cardiology anesthesia anesthesiology checklist treatment differential intraoperative clinical criticalcare ekg bradycardia cardiac cardiomyopathy foamed nephrology perioperative peripartum pulmonary renal syncope
EKG in Acute Pulmonary Embolism The sensitivity and specificity for EKG findings in acute PE are low. EKG
evaluating for other causes ... also a result of atrial ... in relation to ECG ... Embolism #AcutePE #diagnosis ... #cardiology #electrocardiogram
Chest Pain - Diagnosis and Workup Algorithm History and Exam Acute life-threatening causes: • Acute myocardial infarction •
and Workup Algorithm ... life-threatening causes ... : • EKG • Bedside ... , PT. aPTT • Serial ... #Algorithm #workup
Approach to ECGs - Tachy/Bradyarrhythmias Tachyarrhythmias - HR > 100 Wide (1) VT - DANGER (2)
Approach to ECGs ... 200ms from longer pause ... #EKG #diagnosis ... #electrocardiogram ... #cardiology #differential
Treatment of Stable Narrow-Complex Tachycardia Regular Rhythm: • Attempt vagal maneuvers • Give adenosine 6 milligrams IV
Control rate (e.g ... Treat underlying cause ... Treat underlying cause ... Tachycardia #Treatment #management ... #cardiology #algorithm
Approach to the Hypercoagulable State Arterial thromboembolism → Cardiac rhythm monitoring, Echocardiogram, Vascular imaging → Test for APS, particularly
rhythm monitoring, Echocardiogram ... • Provoked (e.g ... - No other workup ... #hematology #diagnosis ... #algorithm #hematology
Intraoperative Sepsis - Guidelines for Crises in Anaesthesia Severe sepsis (hypotension persisting after initial fluid challenge of
likely underlying cause ... cultures if possible (eg ... Discuss ongoing management ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia If prolonged or ≥ 39 C this is a
maintained fever CAUSES ... amphetamines) Toxic: • Radiologic ... #Differential #Causes ... Anesthesia #Checklist #Diagnosis ... #Management #Workup
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
CM5 continuous ECG ... Consider invasive arterial ... consultation with cardiology ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Summary of Heart Blocks 1st Degree Heart Block: • Prolonged PR >200ms (5 small squares). • Narrow
Brady Management ... P and QRS • Atrial ... degrees #summary #Diagnosis ... #EKG #electrocardiogram ... #ecg #cardiology
Increased Airway Pressure - Guidelines for Crises in Anaesthesia Using these steps from start to end should
Consider potential causes ... help AND check arterial ... blood gas, 12-lead ECG ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
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