65 results
Hyperkalemia - Management Algorithm
 • IV calcium
 • IV insulin and glucose and/or salbutamolt
 • Consider
Hyperkalemia - Management ... • Consider K+ binder ... potassium and ECG ... #potassium #high ... management #algorithm #treatment
BRASH Syndrome

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

Typical ECG
BRASH Syndrome ... Typical ECG ... ) BRASH Treatment ... • Aggressive treatment ... DrEricStrong #BRASH #Syndrome
Tumor Lysis Syndrome
An acute, life-threatening condition that appears within 7 days of starting cytotoxic therapies in
Tumor Lysis Syndrome ... ) occur in high ... malignancies Treatments ... with Ca only if EKG ... #Tumor #Lysis #Syndrome
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
Syndromes • Early ... Disorders: • Hyperkalemia ... • Hypercalcemia ... • Short QT, high ... #ekg #electrocardiogram
Osborn waves - positive deflections at the J point (negative in aVR and V1) with a
Osborn waves - positive ... in people with high ... hypercalcemia, ... This EKG was recorded ... #EKG #EmergencyMedicine
Approach to ECGs - Tachy/Bradyarrhythmias
Tachyarrhythmias - HR > 100
Wide
  (1) VT - DANGER
  (2)
B Afib + WPW - DANGER ... 3 different P waves ... (2) Sick Sinus Syndrome ... bradyarrhythmia #ECG ... #EKG #diagnosis
Wolff-Parkinson-White Syndrome

WPW is a congenital abnormality characterized by an abnormal accessory conduction pathway between the atria
Wolff-Parkinson-White Syndrome ... out for a delta wave ... QRS interval on EKG ... The definitive treatment ... complex (Delta wave
Hyperkalemia management algorithm 2023-2024 based on UKKA and KDIGO guidelines.

#hyperkalemia #electrolytes #algorithm #emergency #management

Notes:

(1) Up to
Hyperkalemia management ... have a normal ECG ... A normal ECG doesn't ... mean it should no longer ... (4) Due to high
Leukostasis vs Tumor Lysis Syndrome
Leukostasis:
 • Pathophysiology: Large, immature blasts and high WBC count cause hyperviscosity
immature blasts and high ... organ damage • Treatment ... Spontaneous if high ... hydration - Hyperkalemia ... unless worrisome EKG
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
= Biomarkers + ECG ... asymmetrical, similar or bigger ... proximal LAD or high ... unless LBBB/LVH/high ... #EKG #diagnosis