23 results
Chest Pain - Diagnosis and Workup Algorithm

History and Exam
Acute life-threatening causes:
 • Acute myocardial infarction
 •
Diagnosis and Workup ... life-threatening causes ... Pulmonary embolism • Cardiac ... : • EKG • Bedside ... ultrasound • CXR
Cardiac Tamponade - Guidelines for Crises in Anaesthesia
Caused by an accumulation of blood, pus, effusion fluid
, e.g. central line ... indicated, start CPR ... pericardiocentesis kit (eg ... tamponade recurs. ❿ Plan ... Diagnosis #Management #Workup
Approach to the Hypercoagulable State
Arterial thromboembolism
→ Cardiac rhythm monitoring, Echocardiogram, Vascular imaging
→ Test for APS, particularly
thromboembolism → Cardiac ... Vascular imaging → Test ... • Provoked (e.g ... - No other workup ... CBC, aPTT, +/- CXR
Atrial Myxoma on POCUS Echocardiogram (PLAX)

Adolescent patient presents with chest pain and dyspnea. Beside TTE found
Atrial Myxoma on POCUS ... Echocardiogram (PLAX ... found what the lab work ... , EKG and CXR didn ... Echocardiogram #PLAX
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia

If the patient is unconscious, signs of cardiac
trolley and 12-lead ECG ... CM5 continuous ECG ... Obtain a 12-lead ECG ... consultation with cardiology ... Diagnosis #Management #Workup
Malignant RV Mass on POCUS Echocardiogram (PLAX)
57yo M with chest pain.  Normal work up including
Echocardiogram (PLAX ... Normal work up including ... negative ECG, CXR ... Echocardiogram #clinical #cardiology ... #PLAX
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia
• Unexplained hypotension
• Unexplained bronchospasm (wheeze may be absent
arrest, start CPR ... alternate vasopressor (e.g ... • Plan for repeat ... feasible (Box B). ⓭ Plan ... Diagnosis #Management #Workup
Extracorporeal Membrane Oxygenation (ECMO) - Basics
Mode of cardiopulmonary support used to treat pulmonary and/or cardiovascular failure
venous system E-CPR ... of VA-ECMO when CPR ... flow supports cardiac ... Assess perfusion (eg ... management #pulmonary #criticalcare
Admitting in the ICU - Checklist
VITALS: If bad, stop and go see the patient immediately; you
failure, esp in work-up ... will also get an EKG ... and CXR ... Urine Pregnancy Test ... #criticalcare
Intraoperative Sepsis - Guidelines for Crises in Anaesthesia

Severe sepsis (hypotension persisting after initial fluid challenge of
likely underlying cause ... Consider monitoring cardiac ... cultures if possible (eg ... ongoing management plan ... Diagnosis #Management #Workup