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DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
Ischemic Symptoms  EKG ... visualization with use of ultrasound ... Fick calculated cardiac ... TIMI III flow in all ... major epicardial
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
deWinter T waves - starts ... wave inversion in avL ... #electrocardiogram ... #cardiology #STEMI ... #Equivalents #Interpretation
Myocarditis 

5 Principles of
Myocarditis:
1. Build clinical suspicion
2. Decide on EMBx
3. Manage acute cardiac injury
4. Manage chronic
Manage acute cardiac ... Manage chronic cardiac ... HF, Cardiogenic shock ... Pericarditis, Tamponade EKG ... agent, steroids, AC
EKG Interpretation Cheat Sheet
1) Rate 
 - Regular - Count-Off 
 - Irregular - Count number
EKG Interpretation ... de pointes • Short ... #Interpretation ... #ECG #Electrocardiogram ... #cardiology #diagnosis
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
Osborne waves - Short ... Prinzmetal's Angina: • Epicardial ... inverted T waves • Short ... differential #diagnosis #cardiology ... #ecg #ekg #electrocardiogram
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
to be in ADHF starts ... importantly, bedside ultrasound ... ECG is vital while ... essentially Cardiogenic Shock ... Cardiac cath if
Ventricular Fibrillation on POCUS Echocardiogram - Subcostal 4 Chamber

50's male witnessed arrest. Unknown hx. AED no
AED no shock advised ... Prehosp ACLS-Asystole ... getting 12 lead ECG ... Echocardiogram #ultrasound ... #Cardiology #clinical
Ventricular Fibrillation on POCUS Echocardiogram - Parasternal Short Axis

50's male witnessed arrest. Unknown hx. AED no
- Parasternal Short ... AED no shock advised ... Prehosp ACLS-Asystole ... getting 12 lead ECG ... Echocardiogram #ultrasound
This infographic provides a mnemonic tool called “WOBBLER” for assessing an ECG (electrocardiogram) in cases of
(electrocardiogram ... risk of sudden cardiac ... risk for sudden cardiac ... interpretation. ... #cardiology #differential