16 results
Multifocal Atrial Tachycardia (MAT)
• At least 3 different P wave morphologies: 
• Rate 100-180
• Irregular 
Etiology
Multifocal Atrial Tachycardia ... 3 different P wave ... hypertension Management ... Multifocal #Atrial #Tachycardia ... #EKG #Management
Approach to ECGs - Tachy/Bradyarrhythmias
Tachyarrhythmias - HR > 100
Wide
  (1) VT - DANGER
  (2)
(1) Sinus tachycardia ... Multifocal atrial tachycardia ... 3 different P waves ... bradyarrhythmia #ECG ... #EKG #diagnosis
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
Multifocal Atrial Arrhythmias on ECG
Multifocal atrial rhythm & Multifocal atrial tachycardia
ECG Recognition:
 • Variable P wave
Arrhythmias on ECG ... Multifocal atrial tachycardia ... atrial #rhythm #tachycardia ... cardiology #diagnosis #ekg ... electrocardiogram #clinical #comparison
Approach to ECGs - VT vs. SVT - Wide Tachycardias
DDx = VT vs. SVT with BBB
All
SVT - Wide Tachycardias ... nadir of the S-wave ... nadir of the S-wave ... VT #VTach #SVT #Comparison ... #ekg #cardiology
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
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Diagnosis and Management ... shock state) • Tachycardia ... telemetry, 12-Lead EKG ... - Distended neck ... Shock #Diagnosis #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 ... o surgery) by Nick ... #differential #management