12 results
Approach to ECGs - Tachy/Bradyarrhythmias
Tachyarrhythmias - HR > 100
Wide
  (1) VT - DANGER
  (2)
abberancy - N B Afib ... (3) SVTs - atrial ... (3) Multifocal atrial ... 200ms from longer pause ... #EKG #diagnosis
EKG in Acute Pulmonary Embolism
The sensitivity and specificity for EKG findings in acute PE are low.
EKG
evaluating for other causes ... common finding) • Atrial ... ., A-Fib also a ... result of atrial ... Embolism #AcutePE #diagnosis
Arrhythmias - Differential Diagnosis Algorithm

Bradyarrhythmia (<60 bpm)
 • Sinus Bradycardia
 • Sick Sinus Syndrome
 • SA
- Differential Diagnosis ... Algorithm Bradyarrhythmia ... interval) • AFib ... #Differential #Diagnosis ... #Algorithm #causes
Evaluation of Electrical Injury in the Emergency Department 

Common Injuries by System:

CNS - Seizure, coma, spinal
voltage Cardiac - Vfib ... immediate, prior to ED arrival ... especially with AC ... Electricity #Evaluation #Diagnosis ... Management #Emergency #Algorithm
Chest Pain - Diagnosis and Workup Algorithm

History and Exam
Acute life-threatening causes:
 • Acute myocardial infarction
 •
Chest Pain - Diagnosis ... and Workup Algorithm ... life-threatening causes ... Initial workup: • EKG ... , PT. aPTT • Serial
Polyuria - Differential Diagnosis Algorithm
Urine Output > 3L /day
Water Diuresis (Urine Osm <100 mOsm/kg)
 • Primary
- Differential Diagnosis ... Algorithm Urine ... obstruction • Partial ... #Differential #Diagnosis ... #Algorithm #causes
Approach to Selecting Respiratory Support:
-The role of noninvasive respiratory support is generally to reduce the patient's
-Serial evaluation ... the patient's diagnosis ... (e.g. pneumonia ... #Management #CriticalCare ... RespiratorySupport #Selection #Algorithm
Palpitations - Differential Diagnosis Framework

What?
• It is an unpleasant awareness or sensation that the heart is
- Differential Diagnosis ... Palpitations Diagnosis ... exam • 12-lead ECG ... /Afib/WPW) • Loss ... #Differential #Diagnosis
Approach to Possible Hypertensive Emergency

criteria required to diagnose hypertensive emergency
(1) Severe hypertension
 - Usually a MAP
criteria required to diagnose ... mm is needed to cause ... hypertension (e.g ... might support the diagnosis ... #Algorithm #CriticalCare
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
algorithm to determine ... indicated • EKG ... Obtain EKG if: ... CARP, DECREASE V trials ... stratification #diagnosis