24 results
EKG showing prominent U waves due to hypokalemia. Serum potassium 2.0. 

#EKG #emergencymedicine #criticalcare #cardiology #internalmedicine
EKG showing prominent ... U waves due to ... hypokalemia. ... #criticalcare # ... #UWaves
Hyperkalemia - Management Algorithm
 • IV calcium
 • IV insulin and glucose and/or salbutamolt
 • Consider
Hyperkalemia - Management ... • Consider K+ binder ... potassium and ECG ... , asystole #hyperkalemia ... management #algorithm #treatment
BRASH Syndrome

B - Bradycardia
R - Renal failure
A - AV nodal blockade
S - Shock
H - Hyperkalemia

Typical ECG
Typical ECG ... HR 30, peaked T waves ... ) BRASH Treatment ... • Aggressive treatment ... of hyperkalemia
Osborn waves - positive deflections at the J point (negative in aVR and V1) with a
Osborn waves - positive ... people with high hypercalcemia ... This EKG was recorded ... #EKG #EmergencyMedicine ... Cardiology #diagnosis #CriticalCare
Emergent Hyperkalemia Treatment Algorithm
ECG changes, weakness, K+ >6.5 Or renal insufficiency with K >5.5 with cellular
Emergent Hyperkalemia ... Treatment Algorithm ... injury, etc) ECG ... (peaked T waves, ... not quickly) #Hyperkalemia
The rationale for aggressive treatment of generalized status epilepticus was described previously here.  In short,
for aggressive treatment ... The longer the seizure ... cause aspiration, hyperkalemia ... Management #Neurology #CriticalCare
Navigating a Rapid Response Team (RRT)

Assert Leadership:
 • Stand at foot of bed
 • Introduce yourself
EKG. ... • Concise one-liner ... Orders placed, treatments ... RRT #Management #treatment ... #criticalcare
Hyperkalemia - Diagnosis and Management - GrepMed Handbook

S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
Hyperkalemia - Diagnosis ... heparinized tube) • ECG ... bradycardia → sine wave ... Redistribution Treatments ... Terbutaline 7 µg/kg
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 ... SARSCoV2 #Management #CriticalCare
Pulmonary Embolism Treatment
Systemic Thrombolysis
 - Exclude contraindications.
 - Indications:
   - Massive PE (definite indication)
Pulmonary Embolism Treatment ... Low dose 0.5 mg/kg ... RA thrombus Nick ... Pulmonary #Embolism #Treatment ... AcutePE #Management #CriticalCare