9 results
Type A Dissection on POCUS (PLAX view)

39 yo M w CP drops his BP in ED.
Non-ischemic EKG ... , nl CXR. ... What's the Diagnosis ... #Echocardiogram ... PLAX #Clinical #Ultrasound
TypeA Aortic Dissection on POCUS Echocardiogram

80yo F presents with CP&SOB after syncope. BP 91/62, HR81, O2sat
TypeA Aortic Dissection ... presents with CP ... EKG: afib, twi I ... #Dissection #Aorta ... #Clinical #Ultrasound
Chest Pain - Diagnosis and Workup Algorithm

History and Exam
Acute life-threatening causes:
 • Acute myocardial infarction
 •
infarction • Aortic ... dissection • ... Initial workup: • EKG ... • Bedside ultrasound ... • CXR • CBC
Lead AVR on ECG
1. Acute myocardial infarction: ST elevation > 1.5 mm in aVR, indicative of
artery (LMCA). left anterior ... ST elevation in ACS ... includes ACS vs ... aVR instead of ACS ... aVR • Classic EKG
Anterior-Septal Wall Motion Abnormality on POCUS Echocardiogram

58yoM smoker, neg nuclear ST last week, with CP that
Anterior-Septal ... last week, with CP ... EKG: nsr, TWI v1 ... What's his diagnosis ... Resolution: ACS.
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
: Acute STEMI, Aortic ... dissection, PE, ... diffuse STE, diffuse PR ... - early inferior ... #EKG #diagnosis
Ventricular Fibrillation on POCUS Echocardiogram - Subcostal 4 Chamber

50's male witnessed arrest. Unknown hx. AED no
Prehosp ACLS-Asystole ... Diagnosis? ... getting 12 lead ECG ... Note akinesia of anterior ... #ultrasound #Cardiology
Ventricular Fibrillation on POCUS Echocardiogram - Parasternal Short Axis

50's male witnessed arrest. Unknown hx. AED no
Prehosp ACLS-Asystole ... Diagnosis? ... getting 12 lead ECG ... Note akinesia of anterior ... #ultrasound #Cardiology
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
- Differential Diagnosis ... • PR-segment ... Post-cardioversion • Acute aortic ... dissection • ... #ekg #electrocardiogram