63 results
RV Strain in Pulmonary Embolism on POCUS Echocardiogram

A patient is brought by EMS intubated and hypotensive.
RV Strain in Pulmonary ... your next step in management ... massive embolus-->LV inability ... to pump-->hypotension ... #clinical #ultrasound
Myocardial Injury Classification
Chronic myocardial injury: Chronic heart failure, Cardiomyopathy, Hypertension, CKD/ESRD
Acute nonischemic myocardial injury:
 - Primary
Cardiomyopathy, Hypertension ... injury: - Primary cardiac ... - Primary non-cardiac ... illness: Critical ... illness, Sepsis, Pulmonary
Hypoxemia and Dyspnea - Rapid Response Management

1) Ask for vitals en route
2) Stabilize: Nasal canula 
3)
Rapid Response Management ... vitals en route 2) Stabilize ... ) Examination: Pulmonary ... , Cardiac, Neuro ... #criticalcare #pulmonary
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Diagnosis and Management ... Summary • Hypotension ... Reversibles 3) Stabilize ... Tamponade - Pulmonary ... Cardiac surgery?
RUSH(ed) Exam - POCUS Protocol
Rapid Ultrasound in Shock and Hypotension
1. Parasternal Long Cardiac View
2. Apical Four-Chamber
Ultrasound in Shock and Hypotension ... Parasternal Long Cardiac ... Pulmonary View ... Pulmonary View ... DVT depending on clinical
LVOTO due to SAM on POCUS Echocardiogram

Septic patient after IV fluids and initiation of Levophed. Worsening
to SAM on POCUS Echocardiogram ... Worsening hypotension ... Management? ... #HOCM #POCUS #Echocardiogram ... Cardiology #PLAX #clinical
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
performed) • Clinical ... Cardiovascular MRI Clinical ... Abnormal ECG, echocardiogram ... shock, sudden cardiac ... death Management
D-Sign in a lady with Massive PE - The LV should always be round like a
When ↑ pulmonary ... Ghali @EM_RESUS #Clinical ... #POCUS #Cardiac ... #Echocardiogram
Portopulmonary Hypertension
Presence of pulmonary arterial hypertension in a patient with portal hypertension
No other obvious causes (chronic
Presence of pulmonary ... Transthoracic echocardiogram ... RVSP) - Estimates pulmonary ... atrial pressure, Pulmonary ... #diagnosis #management
Pulmonary Embolism - Risk Stratification and Prognostication based on scores and clinical features

 • Bova score
Pulmonary Embolism ... on scores and clinical ... Stable, Transient Hypotension ... @nickmmark #Pulmonary ... prognostication #diagnosis #management