35 results
Supraventricular Tachycardia EKG

Here’s a great ECG case of a 50-year-old lady who presented with palpitations

Her heart
Supraventricular Tachycardia EKG ... Here’s a great ECG ... #Tachycardia #EKG ... #Cardiology #EKG ... #Clinical
Common Vasopressors and Inotropes
Norepinephrine (NE)
 - Indication: Distributive shock (1st line for septic shock), Cardiogenic shock
is not desired (e.g ... is not desired (e.g ... Bradyarrhythmias, Some cases ... Inotropes #comparison #table ... #pharmacology #criticalcare
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
and Management ... telemetry, 12-Lead EKG ... Reversibles 3) Stabilize ... #Diagnosis #Management ... #Summary #criticalcare
Clinical Management for Three Common Causes of Shock 
HEMORRHAGIC SHOCK
 • Ensure adequate ventilation and oxygenation.
Clinical Management ... for Three Common Causes ... when possible (eg ... #Shock #Management ... #CriticalCare
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
performed) • Clinical ... Cardiovascular MRI Clinical ... gallop • Abnormal ECG ... • Cardiogenic shock ... #Cardiology
Hyperkalemia with Peaked T waves on ECG

These are the classic peaked T-waves of Hyperkalemia. Notice how
Peaked T waves on ECG ... to a baseline ECG ... #Hyperkalemia #ECG ... #EKG #Electrocardiogram ... #Clinical #Cardiology
Pulmonary Embolism - Risk Stratification and Prognostication based on scores and clinical features

 • Bova score
on scores and clinical ... class (30-day all cause ... Transient Hypotension, Shock ... prognostication #diagnosis #management ... stratification #criticalcare
Left Main Coronary Artery Thrombus seen on Angiography

“Mother of all coronary thrombi”.  55 year old
in Cardiogenic shock ... , ECG predicted ... established, but died on table ... Angiogram #CathLab #clinical ... #cardiology #fluoroscopy
Pancreatitis management checklist 
Evaluation to guide etiology & management 
 - RUQ ultrasound 
 - Calcium
as for septic shock ... (e.g. moderate ... resuscitation (e.g ... choledolithiasis (e.g ... #CriticalCare
Approach to Hemorrhagic Shock
PLAN FOR CONTROLLING HEMORRHAGE & ACTIVATE MASSIVE TRANSFUSION PROTOCOL
 • Activate massive transfusion
to Hemorrhagic Shock ... a fixed ratio, e.g ... Use hemodynamic stability ... #Management #Summary ... #CriticalCare #