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diagnosis workup anesthesia anesthesiology checklist intraoperative treatment algorithm cardiogenic cardiomyopathy clinical criticalcare differential indications peripartum abcdes aicd anaphylaxis bradycardia catheterization
It starts as sinus rhythm with probable inferior STEMI, but becomes ventricular fibrillation (or polymorphic ventricular
It starts as sinus ... probable inferior STEMI ... polymorphic ventricular tachycardia ... #Clinical #EM #Cardiology ... #EKG #Arrest #VentricularTachycardia
Inpatient Cath Lab Indications Cath Lab ASAP: STEMI NSTEMI: 1. Unstable/cardiogenic shock 2. Severe LV dysfunction or 3. Recurrent/persistent rest angina despite
Unstable/cardiogenic shock ... low (1-2) risk, +ECG ... /UA: stable, TIMI ... #Indications #Cardiac ... catheterization #cardiology
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM INCLUSION CRITERIA Acute Myocardial Infarction  Ischemic Symptoms  EKG and/or biomarker evidence of AMI
ALGORITHM INCLUSION CRITERIA ... Ischemic Symptoms  EKG ... evidence of AMI (STEMI ... DCSI #Initiative #Management ... #Cardiology
Myocarditis Diagnosis • Endomyocardial biopsy (gold standard, rarely performed) • Clinical presentation • Cardiovascular MRI Clinical •
Unexplained sinus tachycardia ... gallop • Abnormal ECG ... • Cardiogenic shock ... , sudden cardiac ... #Cardiology
SCAI Pyramid of Cardiogenic Shock Classification E - Extremis - A patient experiencing cardiac arrest with ongoing
patient experiencing cardiac ... arrest with ongoing ... hypotension or tachycardia ... currently experiencing signs ... ABCDEs #diagnosis #cardiology
Shock - Diagnosis and Management Summary • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
and Management ... state) • Tachycardia ... Full Set of Vital Signs ... telemetry, 12-Lead EKG ... Cardiac surgery?
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
is unconscious, signs ... arrest trolley ... • Start glyceryl ... consultation with cardiology ... Checklist #Diagnosis #Management
Bradycardia 1) First Steps: IV, O2, Monitors, ECG, Pads on patient, Crash Cart in room. Is patient
worsening brady, Signs ... of Shock, SBP < ... Start pacing. ... #differential #management ... #cardiology
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
• Unexplained tachycardia ... of more of the signs ... arrest, start CPR ... alternate vasopressor (e.g ... Checklist #Diagnosis #Management
Neuroprotection following Cardiac Arrest - Guidelines for Crises in Anaesthesia Outcome from cardiac arrest is determined by
Obtain 12-lead ECG ... and discuss with cardiology ... Start glycaemic ... • Start cooling ... ❾ Plan further management
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