19 results
RUSH(ed) Exam - POCUS Protocol
Rapid Ultrasound in Shock and Hypotension
1. Parasternal Long Cardiac View
2. Apical Four-Chamber
Protocol Rapid Ultrasound ... in Shock and Hypotension ... Parasternal Long Cardiac ... Aortic Slide Views ... #shock
Cardiac Rupture with Pericardial Effusion

Apical 4 chamber. Note larger right sided pericardial effusion with significant compression
Cardiac Rupture ... Note larger right sided ... concerning for cardiac ... MyocardialInfarction #AMI #POCUS #Echocardiogram ... #ultrasound #Cardiology
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
Abnormal ECG, echocardiogram ... • Cardiogenic shock ... , sudden cardiac ... death Management ... Myocarditis #Diagnosis #Management
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
and Management ... Setup - Ultrasound ... dilated IVC - Cardiac ... Cardiac surgery? ... #Diagnosis #Management
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
DETROIT CARDIOGENIC SHOCK ... visualization with use of ultrasound ... Fick calculated cardiac ... IF LVEDP >15 or Cardiac ... DCSI #Initiative #Management
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
& Cardiogenic Shock ... - Management Checklist ... (no B-lines on ultrasound ... #Checklist #CHF ... HeartFailure #Cardiology #Management
Pancreatitis management checklist 
Evaluation to guide etiology & management 
 - RUQ ultrasound 
 - Calcium
Pancreatitis management ... checklist Evaluation ... - RUQ ultrasound ... as for septic shock ... #Pancreatitis #Checklist
Checklist Approach to Hypokalemia

Consider risk factors for arrhythmia:
 - EKG changes (especially QT prolongation)
 - Digoxin
Checklist Approach ... patients (including cardiac ... NPO, or profound shock ... Critical Care #Checklist ... #Hypokalemia #Management
Cardiac Tamponade - Guidelines for Crises in Anaesthesia
Caused by an accumulation of blood, pus, effusion fluid
Cardiac Tamponade ... • Call for cardiac ... Plan definitive management ... Intraoperative #Checklist ... #Diagnosis #Management
Intraoperative Sepsis - Guidelines for Crises in Anaesthesia

Severe sepsis (hypotension persisting after initial fluid challenge of
cause) or septic shock ... Consider monitoring cardiac ... Discuss ongoing management ... Intraoperative #Checklist ... #Diagnosis #Management