27 results
Inpatient Cath Lab Indications
Cath Lab ASAP:
STEMI
NSTEMI:
1. Unstable/cardiogenic shock
2. Severe LV dysfunction or
3. Recurrent/persistent rest angina despite
Cath Lab ASAP: STEMI ... Recurrent/persistent rest ... low (1-2) risk, +ECG ... #Indications #Cardiac ... catheterization #cardiology
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
Ischemic Symptoms  EKG ... evidence of AMI (STEMI ... Fick calculated cardiac ... DCSI #Initiative #Management ... #Cardiology
Cardiac Stress Testing
Exercise:
 • Everyone who can exercise should!
 • They must be able to raise
Cardiac Stress Testing ... 85% of predicted value ... arrythmias Diagnostics: EKG ... Stress #Testing #cardiology ... #management #diagnosis
Intra-Aortic Balloon Pump (IABP)

Intra-aortic balloon counter-pulsation is a method of invasive hemodynamic support. A catheter is
sync with the cardiac ... coronary artery perfusion ... • Triggers (EKG ... Pump #diagnosis #management ... #cardiology #criticalcare
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Cardiogenic Shock - Management ... Liver function tests ... edema - Large effusion ... #HeartFailure #Cardiology ... #Management
Hemopericardium and Cardiac Tamponade on POCUS Echocardiogram

Next best step for this 25yo male (SBP 70)?
Resolution: pericardiocentesis
Tamponade on POCUS ... Echocardiogram Next best ... to definitive managemt ... #Tamponade #Effusion ... #Pericardial #Cardiology
Extracorporeal Membrane Oxygenation (ECMO) - Basics
Mode of cardiopulmonary support used to treat pulmonary and/or cardiovascular failure
flow supports cardiac ... oxygenator • Assess perfusion ... (eg, NIRS, SVO2 ... , lactate) REST ... #ECMO #Basics #management
Management of Convulsive Status Epilepticus in children
Stabilization Phase (Seizure 0-5 minutes):
 • Check and maintain ABC
Management of Convulsive ... renal function test ... (max: 1000 mg) infusion ... 20 minutes with cardiac ... Epilepticus #seizure #Management
Hypotension - Guidelines for Crises in Anaesthesia

Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
system including valves ... rate, rhythm, perfusion ... consider: o Cardiac ... Sepsis → 3-14 o Cardiac ... Checklist #Diagnosis #Management
Pericardial Effusion seen during CPR on POCUS Echocardiogram

This patient was given an anesthetic and became unresponsive
Pericardial Effusion ... during CPR on POCUS ... What the best choice ... for management? ... patient presented in cardiac