21 results
EKG in Acute Pulmonary Embolism
The sensitivity and specificity for EKG findings in acute PE are low.
EKG
EKG in Acute Pulmonary ... evaluating for other causes ... in relation to ECG ... #diagnosis #cardiology ... #electrocardiogram
Chest Pain - Diagnosis and Workup Algorithm

History and Exam
Acute life-threatening causes:
 • Acute myocardial infarction
 •
Diagnosis and Workup ... life-threatening causes ... • Pulmonary embolism ... : • EKG • Bedside ... ultrasound • CXR
Pulmonary Embolism on ECG 

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
on ECG Mid ... Triage EKG (no prior ... seen in 34% of cases ... #ECG #EKG #Electrocardiogram ... #clinical #cardiology
Intraoperative Circulatory Embolus - Guidelines for Crises in Anaesthesia
Causes: thrombus, fat, amniotic fluid, air/gas.
Signs: hypotension, tachycardia,
in Anaesthesia Causes ... Consider thrombolysis e.g ... over 2 h (>65 kg ... mainstay of initial management ... #Workup
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Cause Injury By ... ↑ ESR, CRP • EKG ... Treat underlying cause ... Endocarditis #diagnosis #management ... #cardiology
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 ... Plan definitive management ... #Workup
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 ... #Workup
Noncardiogenic Pulmonary Edema - Differential Diagnosis Framework

NCPE Pathophysiology:
Noncardiogenic pulmonary edema occurs because of excessive pulmonary capillary
Causes include: ... level <100 pg/ml EKG ... ischemic changes CXR ... • Pulmonary embolism ... differential #diagnosis #cardiology
Increased Airway Pressure - Guidelines for Crises in Anaesthesia

Using these steps from start to end should
should identify any cause ... blood gas, 12-lead ECG ... o Circulatory embolus ... Checklist #Diagnosis #Management ... #Workup
Admitting in the ICU - Checklist
VITALS: If bad, stop and go see the patient immediately; you
failure, esp in work-up ... /management of shock ... will also get an EKG ... and CXR ... Urine Pregnancy Test