10 results
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Shock - Management ... Evaluation - EKG ... Liver function tests ... #HeartFailure #Cardiology ... #Management
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
Control rate (e.g ... with caution in pulmonary ... with caution in pulmonary ... Tachycardia #Treatment #management ... #cardiology #algorithm
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
SHOCK INITIATIVE ALGORITHM ... Ischemic Symptoms  EKG ... Obtain femoral arterial ... DCSI #Initiative #Management ... #Cardiology
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Diagnosis and Management ... Full Set of Vital Signs ... Tamponade - Pulmonary ... resuscitation • Cardiogenic ... #Summary #criticalcare
Extracorporeal Membrane Oxygenation (ECMO) - Basics
Mode of cardiopulmonary support used to treat pulmonary and/or cardiovascular failure
used to treat pulmonary ... Suppots lungs (pulmonary ... Assess perfusion (eg ... #ECMO #Basics #management ... #pulmonary #criticalcare
Clinical Management for Three Common Causes of Shock 
HEMORRHAGIC SHOCK
 • Ensure adequate ventilation and oxygenation.
Clinical Management ... , atrial fibrillation ... CARDIOGENIC SHOCK ... pressure (PEEP) for pulmonary ... #CriticalCare
Mask Oxygen Delivery Devices

Simple Mask aka Hudson's Mask:
 • Flow 6-10 LPM
 • FiO2 35-50%
Face Tent:
FiO2 35-50% Face Tent ... tight-fitting mask (e.g ... • FiO2 24-60% Partial ... Delivery #Devices #management ... #pulmonary #criticalcare
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
with presence of pulmonary ... ECG is vital while ... is essentially Cardiogenic ... #differential #algorithm ... #management #cardiology
Peripartum Cardiomyopathy - Summary
1. Definition
 • Towards the end of pregnancy to 5 months postpartum
cardiomyopathy • Pulmonary ... Minority of Pts: cardiogenic ... Management during ... Serial TTE and close ... #cardiology #treatment
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
murmur 3/6) - Pulmonary ... event, follow ACC algorithm ... determine if stress test ... one post op Cardiology ... medical and surgical management