17 results
Pericardial Effusion seen during CPR on POCUS Echocardiogram

This patient was given an anesthetic and became unresponsive
Pericardial Effusion ... patient was given an anesthetic ... best choice for management ... patient presented in cardiac ... clinical #ultrasound #ACLS
Medical Management of Acute RV Failure
 • Evaluate and Treat Etiology of RV Failure [e.g. Acute
of RV Failure [e.g ... Primary/Concomitant Pericardial ... Supportive Measures Act ... rightventricular #cardiology ... #management #treatment
Cardiac Tamponade - Guidelines for Crises in Anaesthesia
Caused by an accumulation of blood, pus, effusion fluid
Cardiac Tamponade ... thoracotomy is a better treatment ... Plan definitive management ... toward the largest pericardial ... Checklist #Diagnosis #Management
Vasospastic (Prinzmetal) Angina
Definition / Epidemiology:
 • Rest angina attributed to coronary artery vasospasm.
 • Patients often
younger than other ACS ... changes on tele/ECG ... tests in cath lab Treatment ... Prinzmetal #Angina #cardiology ... #diagnosis #management
Myocarditis 

5 Principles of
Myocarditis:
1. Build clinical suspicion
2. Decide on EMBx
3. Manage acute cardiac injury
4. Manage chronic
Pericarditis, Tamponade EKG ... Low voltage Treatment ... agent, steroids, AC ... Myocarditis #diagnosis #management ... #cardiology #summary
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
Ischemic Symptoms  EKG ... TIMI III flow in all ... major epicardial ... DCSI #Initiative #Management ... #Cardiology
Leukostasis vs Tumor Lysis Syndrome
Leukostasis:
 • Pathophysiology: Large, immature blasts and high WBC count cause hyperviscosity
have fever - ACS ... lethargy, hematuria, cardiac ... unless worrisome EKG ... with tetany or cardiac ... TLS #diagnosis #management
Intraoperative Tachycardia - Guidelines for Crises in Anaesthesia
Tachycardia in theatre is often due to inadequate depth
remember to tailor treatment ... obtain 12-lead ECG ... hypovolaemia; primary cardiac ... Anesthesiology #Anesthesia ... Checklist #Diagnosis #Management
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia
• Unexplained hypotension
• Unexplained bronchospasm (wheeze may be absent
trolley, anaphylaxis treatment ... pack. ❸ Remove all ... require prolonged treatment ... Anesthesiology #Anesthesia ... Checklist #Diagnosis #Management
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
complications from anesthesia ... dependent DM ACS ... one post op Cardiology ... • <12mo since ACS ... medical and surgical management