19 results
Multifocal Atrial Tachycardia (MAT)
• At least 3 different P wave morphologies: 
• Rate 100-180
• Irregular 
Etiology
3 different P wave ... • Hypoxia • Pulmonary ... hypertension Management ... Cardiology #Diagnosis #ECG ... #EKG #Management
Hyperkalemia - Management Algorithm
 • IV calcium
 • IV insulin and glucose and/or salbutamolt
 • Consider
Hyperkalemia - Management ... • Consider K+ binder ... potassium and ECG ... - Absence of T wave ... high #diagnosis #management
Vasopressors Table 
Rough properties by Target Receptor, Heart Rate/Inotropy, Systemic Vascular Resistance, Cardiac Output, Blood Pressure,
Blood Pressure, Pulmonary ... 0.375-0.75 mcg/kg ... high 10-20 mcg/kg ... Pharmacology #Effect #Management ... #Comparison #Inotropes
External Ventricular Drains (EVDs) & ICP waveform interpretation
An EVD is a temporary closed sterile system that
is increased (e.g ... cerebral compliance (e.g ... CNS compliance LONGER ... called Lundberg waves ... Nick Mark MD @nickmmark
Cardiac Event Monitoring Devices - Compared
Ambulatory ECG (Hotter):
 • Advantages: Continuous recording, records asx events, all
Compared Ambulatory ECG ... events, all (most) ECG ... • Advantages: Longer ... Monitoring #Devices #Comparison ... #cardiology #management
COVID-19 Intubation Checklist

Personal protective equipment (PPE)
 • Standard PPE
   • N95 or PAPR.
Hood to cover neck ... dose paralytic (e.g ... at least 1.2 mg/kg ... valve & viral filter ... Checklist #SARSCoV2 #Management
Massive Hemoptysis - Diagnosis and Management
 • Definitions: 
   - Hemoptysis = bleeding from
Diagnosis and Management ... respiratory tract (e.g ... • Airway Management ... Argon Plasma by Nick ... treatment #workup #pulmonary
Pulmonary Embolism Treatment
Systemic Thrombolysis
 - Exclude contraindications.
 - Indications:
   - Massive PE (definite indication)
Pulmonary Embolism ... Low dose 0.5 mg/kg ... RA thrombus Nick ... @nickmmark #Pulmonary ... Treatment #AcutePE #Management
Approach to Tracheostomy Emergencies - OnePager Summary
COMPONENTS OF A TRACHEOSTOMY TUBE:
 • Obturator - inserted into
tube against the neck ... Call for help (e.g ... Surgical management ... #differential #management ... #pulmonary #criticalcare
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Diagnosis and Management ... telemetry, 12-Lead EKG ... - Distended neck ... Tamponade - Pulmonary ... Shock #Diagnosis #Management