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diagnosis anesthesia checklist differential workup cardiology intraoperative treatment algorithm criticalcare embolism acute acutepe airway amiodarone anaphylaxis ards barre bradyarrhythmia bradycardia
EKG in Acute Pulmonary Embolism The sensitivity and specificity for EKG findings in acute PE are low. EKG
EKG in Acute Pulmonary ... evaluating for other causes ... Drive: • Sinus Tachycardia ... #EKG #Pulmonary ... diagnosis #cardiology #electrocardiogram
Approach to ECGs - Tachy/Bradyarrhythmias Tachyarrhythmias - HR > 100 Wide (1) VT - DANGER (2)
(2) Sick Sinus Syndrome ... 200ms from longer pause ... bradyarrhythmia #ECG ... #EKG #diagnosis ... #electrocardiogram
Treatment of Stable Narrow-Complex Tachycardia Regular Rhythm: • Attempt vagal maneuvers • Give adenosine 6 milligrams IV
Control rate (e.g ... Treat underlying cause ... Control rate (e.g ... Treat underlying cause ... #Treatment #management
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia If prolonged or ≥ 39 C this is a
Surgical devices, e.g ... Sepsis (→ 3-14) e.g ... (e.g. haloperidol ... #Anesthesiology ... Checklist #Diagnosis #Management
Palpitations - Differential Diagnosis Framework What? • It is an unpleasant awareness or sensation that the heart is
exam • 12-lead ECG ... syndrome (sick ... sinus syndrome) ... Valvular disease (e.g ... Pheochromocytoma • Pulmonary
Acute Respiratory Distress Syndrome – ARDS: Clinical Cheat Sheet An acute diffuse, inflammatory lung injury, leading to
Respiratory Distress Syndrome ... leading to increased pulmonary ... objective assessment“ (e.g ... there is no clear cause ... the underlying cause
Hypotension - Guidelines for Crises in Anaesthesia Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
and positioning (e.g ... non-sinus → 2-7 Tachycardia ... (eg steroid dependency ... #Differential #Anesthesiology ... Checklist #Diagnosis #Management
Intraoperative Circulatory Embolus - Guidelines for Crises in Anaesthesia Causes: thrombus, fat, amniotic fluid, air/gas. Signs: hypotension, tachycardia,
in Anaesthesia Causes ... : hypotension, tachycardia ... Consider thrombolysis e.g ... over 2 h (>65 kg ... Embolism #VTE #Anesthesiology
Intraoperative Tachycardia - Guidelines for Crises in Anaesthesia Tachycardia in theatre is often due to inadequate depth
Intraoperative Tachycardia ... Guidelines for Crises ... obtain 12-lead ECG ... #Anesthesiology ... Checklist #Diagnosis #Management
Causes of ST Segment Elevation - Differential Diagnosis Framework STEMI: • Upsloping convex STE: "Pardee's sign" +
Causes of ST Segment ... QRS complex Pulmonary ... block; and sinus tachycardia ... diagnosis #cardiology #ecg ... #ekg #electrocardiogram
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