22 results
Massive Pericardial Effusion on Echocardiogram (S4C) demonstrating ECG alternans motion
Massive pericardial effusion, female metastatic breast cancer
demonstrating ECG ... alternans motion ... #malignant #clinical ... #cardiology #pocus ... S4C #electrical #alternans
Massive Pericardial Effusion on Echocardiogram (A4C) demonstrating ECG alternans motion
Massive pericardial effusion, female metastatic breast cancer
demonstrating ECG ... alternans motion ... #malignant #clinical ... #cardiology #pocus ... a4c #electrical #alternans
Massive Pericardial Effusion on Echocardiogram (PLAX and M-Mode) demonstrating ECG alternans motion
Massive pericardial effusion, female metastatic
Pericardial Effusion on Echocardiogram ... demonstrating ECG ... alternans motion ... #malignant #clinical ... #cardiology #pocus
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
Endocarditis checklist ... Internet Book of Critical ... #Endocarditis #checklist ... #criticalcare # ... diagnosis #management
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
performed) • Clinical ... Cardiovascular MRI Clinical ... gallop • Abnormal ECG ... , echocardiogram ... #Cardiology
Short axis of this echo is mesmerizing: Malignant effusion in a young pt. Notice subtle electrical
subtle electrical alternans ... on the ECG. ... PericardialEffusion #Clinical ... #POCUS #Echocardiogram ... ElectricalAlternans #Cardiology
Checklist Approach to Hypokalemia

Consider risk factors for arrhythmia:
 - EKG changes (especially QT prolongation)
 - Digoxin
Checklist Approach ... incongruous with clinical ... Care #Checklist ... #Hypokalemia #Management ... #CriticalCare
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Embolism on POCUS Echocardiogram ... Triage EKG (no prior ... Differential/diagnosis ... #A4c #clinical ... #cardiology #McConnells
Large Pericardial Effusion on POCUS 

Good example of swinging heart in pre tamponade. Reason for electrical
for electrical alternans ... EKG from same patient ... #POCUS #Echocardiogram ... #A4C #Clinical ... #Cardiology #Swinging
Myasthenic Crisis Checklist - Myasthenia Gravis

Evaluation 
 - Chest X-ray and lung ultrasound (exclude other lung
Myasthenic Crisis Checklist ... Phos), CBC with differential ... Intubation only if clinically ... (vital signs, clinical ... #Management #CriticalCare