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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
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
SHOCK INITIATIVE ALGORITHM ... Ischemic Symptoms  EKG ... Obtain femoral arterial ... visualization with use of ultrasound ... Fick calculated cardiac
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
dental procedure • Cardiac ... verrucous) • Lung ... Libman Sacks) • Atrial ... : • New cardiac ... ↑ ESR, CRP • EKG
Septal Hypertrophic Cardiomyopathy (HOCM)

52yo worsening exertional sx and murmur. EKG nonspecific, Serial trops (-) 
EM resident
EKG nonspecific, ... Serial trops (- ... Metoprolol - VCU Ultrasound ... echocardiogram #plax #cardiology ... #pocus
Point of Care Ultrasound - Probe Movements
SWEEPING:
Here we slide the probe along a slug trail of
Point of Care Ultrasound ... probe along a slug trail ... is obtaining a SAX ... COMPRESSION: E.g ... #POCUS #Nomenclature
Endocarditis - Overview and Differential Diagnosis Framework

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV
dental procedure • Cardiac ... , verrucous) - Lung ... Libman Sacks) • Atrial ... : • New cardiac ... ↑ ESR, CRP • EKG
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
importantly, bedside ultrasound ... hemodynamics and cardiac ... ECG is vital while ... Cardiac cath if ... #differential #algorithm
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
exam Determine Cardiac ... event, follow ACC algorithm ... indicated • EKG ... Obtain EKG if: ... unless prior heart/lung
Abdominal Compartment Syndrome & Intrabdominal Pressure Measurement
APP (Abdominal Perfusion Pressure) = MAP (Mean Arterial Pressure) -
APP (Abdominal Perfusion ... CO) and impedes lung ... correct placement (e.g ... POCUS) and function ... urinary catheter (e.g