13 results
Cardiac Rupture with Pericardial Effusion

Apical 4 chamber. Note larger right sided pericardial effusion with significant compression
Cardiac Rupture ... Note larger right sided ... MyocardialInfarction #AMI #POCUS #Echocardiogram ... #ultrasound #Cardiology ... #A4c #clinical
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
tachycardia • S3, S4 ... Abnormal ECG, echocardiogram ... • Cardiogenic shock ... , sudden cardiac ... death Management
Candidates for Medical Treatment of Ectopic Pregnancy with Methotrexate 
 - Hemodynamically stable 
 - No
Candidates for Medical Treatment ... Ectopic gestational sac ... - No fetal cardiac ... activity on ultrasound ... Ectopic #Pregnancy #Management
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Shock - Differential ... Pneumothorax, Cardiac ... Treatment Goals ... #criticalcare #algorithm ... #treatment #management
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
and Management ... Setup - Ultrasound ... Cardiac surgery? ... #Diagnosis #Management ... #criticalcare #treatment
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
INITIATIVE ALGORITHM ... visualization with use of ultrasound ... Fick calculated cardiac ... #Algorithm #DCSI ... #Initiative #Management
Emergent Hyperkalemia Treatment Algorithm
ECG changes, weakness, K+ >6.5 Or renal insufficiency with K >5.5 with cellular
Emergent Hyperkalemia Treatment ... Algorithm ECG ... Calcium - Stabilizes cardiac ... insulin Side ... #Algorithm #Management
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
importantly, bedside ultrasound ... essentially Cardiogenic Shock ... Cardiac cath if ... #differential #algorithm ... #management #cardiology
Malignant Pericardial Effusion causing Cardiac Tamponade on Echocardiogram (A4c)
Hypotensive + respiratory distress. At first glance you
Effusion causing Cardiac ... Tamponade on Echocardiogram ... filling of right side ... Tamponade #clinical #ultrasound ... #a4c #echocardiogram
Tamponade Masked in Pulmonary Hypertension

Signs of Tamponade can be masked by pulmonary hypertension! 1.2L drained. Read
PMC5466174/ - VCU Ultrasound ... Editor: note L sided ... POCUS #Cardiology #Echocardiogram ... #A4C #Cardiac #