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Chest Pain / ACS Evaluation Algorithm
Algorithm that attempts to the use history taking (guided by LRs),
Chest Pain / ACS ... Diamond-Forrester classification ... physical activity - Nausea ... (+LR 2.6) - Cardiac ... - History - EKG
Hypotension - Guidelines for Crises in Anaesthesia

Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
system including valves ... rhythm, treat as ... consider: o Cardiac ... Sepsis → 3-14 o Cardiac ... Anesthesiology #Anesthesia
Cardiac Arrest - Guidelines for Crises in Anaesthesia

The probable cause is one or more of: something
Cardiac Arrest - ... • As soon as ... breathing system valves ... • Check ECG rhythm ... Anesthesiology #Anesthesia
Leukostasis vs Tumor Lysis Syndrome
Leukostasis:
 • Pathophysiology: Large, immature blasts and high WBC count cause hyperviscosity
high WBC count cause ... have fever - ACS ... priapism • Lab values ... unless worrisome EKG ... with tetany or cardiac
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia
• Unexplained hypotension
• Unexplained bronchospasm (wheeze may be absent
• Unexpected cardiac ... arrest where other causes ... surgery. ❷ Call for cardiac ... alternate vasopressor (e.g ... is stable
Intraoperative Tachycardia - Guidelines for Crises in Anaesthesia
Tachycardia in theatre is often due to inadequate depth
not be treated as ... system including valves ... obtain 12-lead ECG ... hypovolaemia; primary cardiac ... Anesthesiology #Anesthesia
Cardiac Stress Testing
Exercise:
 • Everyone who can exercise should!
 • They must be able to raise
Cardiac Stress Testing ... • They must be able ... 85% of predicted value ... production to cause ... arrythmias Diagnostics: EKG
Pulmonary Renal Syndromes - OnePager Summary
Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
nose deformity • Cardiac ... (UPC) ratio • Cardiac ... recent DAN) • EMG ... /NCS for mononeuritis ... Goodpasture's cause
Intraabdominal hypertension is defined as elevated pressure without overt organ failure (table below).  Among critically
organ failure (table ... failure, it may cause ... #Hypertension #IAH ... #Grades #Classification ... #ACS #Compartment
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
complications from anesthesia ... exam Determine Cardiac ... dependent DM ACS ... Obtain EKG if: ... postoperative cardiac