22 results
Approach to ECGs - Tachy/Bradyarrhythmias
Tachyarrhythmias - HR > 100
Wide
  (1) VT - DANGER
  (2)
200ms from longer pause ... bradyarrhythmia #ECG ... #EKG #diagnosis ... electrocardiogram #cardiology ... #differential
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
Myocarditis Diagnosis ... Unexplained sinus tachycardia ... gallop • Abnormal ECG ... Dysrhythmia, heart block ... #Management #Cardiology
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia
If prolonged or ≥ 39 C this is a
39 C this is a clinical ... Allergic reaction / anaphylaxis ... #Hyperthermia #Differential ... #Anesthesia #Checklist ... #Diagnosis #Management
Hypotension - Guidelines for Crises in Anaesthesia

Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
effects of neuraxial block ... non-sinus → 2-7 Tachycardia ... #Hypotension #Differential ... Intraoperative #Checklist ... #Diagnosis #Management
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia
• Unexplained hypotension
• Unexplained bronchospasm (wheeze may be absent
• Unexplained tachycardia ... alternate vasopressor (e.g ... an appropriate critical ... Intraoperative #Checklist ... #Diagnosis #Management
Palpitations - Differential Diagnosis Framework

What?
• It is an unpleasant awareness or sensation that the heart is
Palpitations - Differential ... exam • 12-lead ECG ... with variable block ... atrioventricular block ... #Differential #
Premature Ventricular Complexes (PVC's) - Summary Framework

Why PVCs?  Can be the first manifestation of cardiac
Bundle branch block ... may not occur Differential ... Diagnosis: • PAC ... #differential # ... cardiology
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia

If the patient is unconscious, signs of cardiac
New or evolving regional ... CM5 continuous ECG ... consultation with cardiology ... Intraoperative #Checklist ... #Diagnosis #Management
Intraoperative Tachycardia - Guidelines for Crises in Anaesthesia
Tachycardia in theatre is often due to inadequate depth
Guidelines for Crises ... obtain 12-lead ECG ... amniotic (→ 3-5); anaphylaxis ... Intraoperative #Checklist ... #Diagnosis #Management
Increased Airway Pressure - Guidelines for Crises in Anaesthesia

Using these steps from start to end should
blood gas, 12-lead ECG ... Bronchospasm → 3-4 o Anaphylaxis ... Airway #Pressure #Differential ... Intraoperative #Checklist ... #Diagnosis #Management