13 results
Multifocal Atrial Tachycardia (MAT)
• At least 3 different P wave morphologies: 
• Rate 100-180
• Irregular 
Etiology
3 different P wave ... • Hypoxia • Pulmonary ... • Oxygen • Treatment ... #MAT #Cardiology ... #EKG #Management
Hyperkalemia - Management Algorithm
 • IV calcium
 • IV insulin and glucose and/or salbutamolt
 • Consider
Hyperkalemia - Management ... • Consider K+ binder ... potassium and ECG ... #potassium #high ... #algorithm #treatment
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
Treatment of Stable ... with caution in pulmonary ... with caution in pulmonary ... #Treatment #management ... #cardiology #algorithm
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
QRS complex Pulmonary ... block; and sinus tachycardia ... • Short QT, high ... differential #diagnosis #cardiology ... #ecg #ekg #electrocardiogram
Premature Ventricular Complexes (PVC's) - Summary Framework

Why PVCs?  Can be the first manifestation of cardiac
Hypomagnesemia • Hypokalemia ... percent PVCs/day • High ... 300 = NSVT EKG ... more intensive treatment ... #differential #cardiology
Pulmonary Embolism Treatment
Systemic Thrombolysis
 - Exclude contraindications.
 - Indications:
   - Massive PE (definite indication)
Pulmonary Embolism ... indication) - High-risk ... Low dose 0.5 mg/kg ... RA thrombus Nick ... #AcutePE #Management
Hyperkalemia - Diagnosis and Management - GrepMed Handbook

S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
and Management ... heparinized tube) • ECG ... bradycardia → sine wave ... Terbutaline 7 µg/kg ... Monitor for tachycardia
Salicylate Toxicity - Diagnosis and Management

Consider if:
1) Patient is hot and altered
2) You see tachypnea with
Exam: Tachypnea, Tachycardia ... , Diaphoresis, Pulmonary ... Respiratory Alkalosis, High ... Salicylate Level: 150mg/kg ... #Treatment
KDIGO Treatment algorithm for management of acute hyperkalemia in the emergency department
 • Place on cardiac
KDIGO Treatment ... of acute hyperkalemia ... monitor 12-lead ECG ... • Consider K+ binder ... #high #nephrology
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
shock state) • Tachycardia ... telemetry, 12-Lead EKG ... - Distended neck ... Tamponade - Pulmonary ... #criticalcare #treatment