11 results
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Shock - Management ... (no B-lines on ultrasound ... #CHF #Shock #Cardiogenic ... #HeartFailure #Cardiology ... #Management
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
SHOCK INITIATIVE ... visualization with use of ultrasound ... TIMI III flow in all ... DCSI #Initiative #Management ... #Cardiology
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
Abnormal ECG, echocardiogram ... Elevated troponin • Cardiogenic ... shock, sudden cardiac ... death Management ... #Cardiology
Ventricular Fibrillation on POCUS Echocardiogram - Parasternal Short Axis

50's male witnessed arrest. Unknown hx. AED no
AED no shock advised ... Prehosp ACLS-Asystole ... Fine Vfib can be ... #Fibrillation #VFib ... #ultrasound #Cardiology
Ventricular Fibrillation on POCUS Echocardiogram - Subcostal 4 Chamber

50's male witnessed arrest. Unknown hx. AED no
AED no shock advised ... Prehosp ACLS-Asystole ... Fine Vfib can be ... #Fibrillation #VFib ... #ultrasound #Cardiology
Myocarditis 

5 Principles of
Myocarditis:
1. Build clinical suspicion
2. Decide on EMBx
3. Manage acute cardiac injury
4. Manage chronic
- Acute HF, Cardiogenic ... shock, Arrythmias ... agent, steroids, AC ... Myocarditis #diagnosis #management ... #cardiology #summary
Table of Common Rate Control Agents via AHA/ACC/HRS Guidelines #Management #Pharm #EM #IM #Cardiology #Afib #Common
Agents via AHA/ACC ... HRS Guidelines #Management ... #Pharm #EM #IM ... #Cardiology #Afib
If the choice is available, biphasic waveform devices have greater efficacy than monophasic.In terms of the
level, Mittal et al ... for escalating shock ... #Management #EBM ... #EM #IM #Cardiology
Peripartum Cardiomyopathy - Summary
1. Definition
 • Towards the end of pregnancy to 5 months postpartum
cardiomyopathy • Pulmonary ... Minority of Pts: cardiogenic ... shock and severe ... • Avoid ARB/ACE-I ... #cardiology #treatment
Perhaps quite too often, the knee-jerk reaction to an elevated Troponin is to call our friends
our friends from Cardiology ... Cardiology cannot ... primary disturbance Cardiology ... similar where Cardiology ... diagnosis #algorithm #cardiology