26 results
Multifocal Atrial Tachycardia (MAT)
• At least 3 different P wave morphologies: 
• Rate 100-180
• Irregular 
Etiology
Multifocal Atrial ... Secondary to chronic lung ... • Oxygen • Treatment ... #Diagnosis #ECG ... #EKG #Management
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
Treatment of Stable ... Control rate (e.g ... pulmonary disease or CHF ... Control rate (e.g ... #management #cardiology
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Evaluation - EKG ... 1 — Treat the lungs ... Nephrotoxins (e.g ... channel blocker (eg ... #Checklist #CHF
Myocarditis 

5 Principles of
Myocarditis:
1. Build clinical suspicion
2. Decide on EMBx
3. Manage acute cardiac injury
4. Manage chronic
Manage acute cardiac ... Fulminant: - Acute HF ... Pericarditis, Tamponade EKG ... Low voltage Treatment ... Myocarditis #diagnosis #management
This is a parasternal long axis view of a young patient presenting with 3 days of
x-ray and and ECG ... Beside ultrasound ... root, and left atrium ... #Clinical #EM #Radiology ... #POCUS #CardiacUS
Intra-Aortic Balloon Pump (IABP)

Intra-aortic balloon counter-pulsation is a method of invasive hemodynamic support. A catheter is
placed through an arterial ... sync with the cardiac ... • Triggers (EKG ... Pump #diagnosis #management ... #cardiology #criticalcare
Extracorporeal Membrane Oxygenation (ECMO) - Basics
Mode of cardiopulmonary support used to treat pulmonary and/or cardiovascular failure
Blood returns - arterial ... flow supports cardiac ... oxygenator • Assess perfusion ... (eg, NIRS, SVO2 ... #ECMO #Basics #management
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
Ischemic Symptoms  EKG ... Obtain femoral arterial ... visualization with use of ultrasound ... DCSI #Initiative #Management ... #Cardiology
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Diagnosis and Management ... Setup - Ultrasound ... telemetry, 12-Lead EKG ... Cardiac surgery? ... #criticalcare #treatment
Cardiac Tamponade - Guidelines for Crises in Anaesthesia
Caused by an accumulation of blood, pus, effusion fluid
of blood, pus, effusion ... iatrogenic causes, e.g ... pericardiocentesis kit (eg ... thoracotomy is a better treatment ... Plan definitive management