32 results
Pericardial Clot on Echocardiogram

ST elevation of acute pericarditis was misdiagnosed as STEMI and thrombolysed with SK
misdiagnosed as STEMI ... hemorrhagic pericardial effusion ... #Pericardial #effusion ... POCUS #clinical #cardiology ... #a4c
Clinical Management for Three Common Causes of Shock 
HEMORRHAGIC SHOCK
 • Ensure adequate ventilation and oxygenation.
Clinical Management ... of poor organ perfusion ... Ameliorate increased work ... oxygenation; remove work ... #Shock #Management
Post-MI Free Wall Rupture
1. What's the role of revascularization when presenting with late STEMI?
2. What are
presenting with late STEMI ... hemorrhagic pericardial effusion ... pursue surgical management ... FreeWall #Rupture #cardiology ... acuteMI #diagnosis #management
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
Ischemic Symptoms  EKG ... evidence of AMI (STEMI ... or NSTEMI) Cardiogenic ... DCSI #Initiative #Management ... #Cardiology
Modified Sgarbossa Criteria - Diagnostic Checklist for diagnosing MI in LBBB or Pacemaker
1) Identify LBBB or
2ms spike - Fusion ... Criteria - Suspect STEMI ... Diagnosis #Checklist #EKG ... electrocardiogram #ecg ... #cardiology #lbbb
Massive Pericardial Effusion on Echocardiogram (A4C) demonstrating ECG alternans motion
Massive pericardial effusion, female metastatic breast cancer
Massive Pericardial Effusion ... Echocardiogram (A4C ... demonstrating ECG ... malignant #clinical #cardiology ... #pocus #a4c #electrical
Constrictive Pericarditis on Echocardiogram
A 55-year-old female marathon runner presents to clinic w/ 6-months of worsening breathlessness
had gained 15 kg ... echocardiogram to workup ... circumferential pericardial effusion ... Echocardiogram #a4c ... pocus #clinical #cardiology
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Diagnosis and Management ... Consider IL NS/LR infusion ... telemetry, 12-Lead EKG ... and Survey 4) Workup ... Shock #Diagnosis #Management
Large Pericardial Effusion on POCUS 

Good example of swinging heart in pre tamponade. Reason for electrical
Large Pericardial Effusion ... in pericardial effusion ... EKG from same patient ... Echocardiogram #A4C ... #Clinical #Cardiology
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Cardiogenic Shock - Management ... Evaluation - EKG ... edema - Large effusion ... #HeartFailure #Cardiology ... #Management