9 results
Interphalangeal Joint Dislocation
Interphalangeal joint dislocations almost always occur dorsally, look for associated avulsion fractures! Here's a
Hyperextension injury with axial ... tendon) • ED Management ... Dislocation #IPJoint #Radiology ... #XRay #Diagnosis ... #Management #Hand
ROLANDO FRACTURE 
Rolando fracture is an intraarticular three-part fracture of the base of the first metacarpal
Y-shaped • The volar ... • Mechanism: Axial ... Thumb #Metacarpal #Radiology ... #XRay #Diagnosis ... #Management #Hand
Atrial Fibrillation (A-Fib) Summary

Symptoms:
• Palpitations, light-headedness, dizziness, dyspnea, exercise intolerance, chest pain, near-syncope, syncope.

Why?
Cardiac:
	• Valvular heart
Atrial Fibrillation ... Cardiac: • Valvular ... ventricular hypertrophy, pericardial ... AFib #diagnosis #management ... #cardiology
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
Obtain femoral arterial ... Fick calculated cardiac ... IF LVEDP >15 or Cardiac ... DCSI #Initiative #Management ... #Cardiology
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia

If the patient is unconscious, signs of cardiac
Intraoperative Cardiac ... Consider invasive arterial ... consultation with cardiology ... Intraoperative #Checklist ... #Diagnosis #Management
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
Chest x-ray: signs ... of obstructive epicardial ... Consider cardiac ... heartfailure #diagnosis #management ... #cardiology #pharmacology
Neuroprotection following Cardiac Arrest - Guidelines for Crises in Anaesthesia
Outcome from cardiac arrest is determined by
❹ Insert intra-arterial ... discuss with cardiology ... ❾ Plan further management ... Intraoperative #Checklist ... #Diagnosis #Management
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
exam Determine Cardiac ... risk Chest X-ray ... postoperative cardiac ... CARP, DECREASE V trials ... surgical management
Intraoperative Hypoxia / Desaturation / Cyanosis - Guidelines for Crises in Anaesthesia
Using these steps from start
check arterial ... lead ECG, chest X-ray ... ) → 3-12 o Cardiac ... Intraoperative #Checklist ... Diagnosis #Workup #Management