32 results
Chest Pain - Diagnosis and Workup Algorithm

History and Exam
Acute life-threatening causes:
 • Acute myocardial infarction
 •
life-threatening causes ... Pneumothorax • Pulmonary ... embolism • Cardiac ... : • EKG • Bedside ... ultrasound
Intraoperative Circulatory Embolus - Guidelines for Crises in Anaesthesia
Causes: thrombus, fat, amniotic fluid, air/gas.
Signs: hypotension, tachycardia,
Causes: thrombus ... Consider thrombolysis e.g ... over 2 h (>65 kg ... Anesthesiology #Anesthesia ... Diagnosis #Management #Workup
EKG in Acute Pulmonary Embolism
The sensitivity and specificity for EKG findings in acute PE are low.
EKG
EKG in Acute Pulmonary ... Embolism The sensitivity ... evaluating for other causes ... #EKG #Pulmonary ... #diagnosis #cardiology
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia
If prolonged or ≥ 39 C this is a
Treatment depends ... maintained fever CAUSES ... amphetamines) Toxic: • Radiologic ... #Differential #Causes ... Diagnosis #Management #Workup
Cardiac Tamponade - Guidelines for Crises in Anaesthesia
Caused by an accumulation of blood, pus, effusion fluid
Caused by an accumulation ... , e.g. central line ... thoracotomy is a better treatment ... Anesthesiology #Anesthesia ... Diagnosis #Management #Workup
Increased Airway Pressure - Guidelines for Crises in Anaesthesia

Using these steps from start to end should
blood gas, 12-lead ECG ... o Circulatory embolus ... o Aspiration, pulmonary ... Anesthesiology #Anesthesia ... Diagnosis #Management #Workup
Medical Management of Acute RV Failure
 • Evaluate and Treat Etiology of RV Failure [e.g. Acute
of RV Failure [e.g ... involving RV, Pulmonary ... Embolism] • Evaluate ... rightventricular #cardiology ... #management #treatment
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia

If the patient is unconscious, signs of cardiac
Guidelines for Crises ... CM5 continuous ECG ... consultation with cardiology ... Anesthesiology #Anesthesia ... Diagnosis #Management #Workup
Pulmonary Embolism on ECG 

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Pulmonary Embolism ... Triage EKG (no prior ... seen in 34% of cases ... #Embolism #ECG ... #clinical #cardiology
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia
• Unexplained hypotension
• Unexplained bronchospasm (wheeze may be absent
trolley, anaphylaxis treatment ... require prolonged treatment ... alternate vasopressor (e.g ... Anesthesiology #Anesthesia ... Diagnosis #Management #Workup