52 results
Multifocal Atrial Tachycardia (MAT)
• At least 3 different P wave morphologies: 
• Rate 100-180
• Irregular 
Etiology
Multifocal Atrial ... • Hypoxia • Pulmonary ... Tachycardia #MAT #Cardiology ... #Diagnosis #ECG ... #EKG #Management
Atrial Fibrillation Overview

Symptoms:
Palpitations, light-headedness, dizziness, dyspnea, exercise intolerance, chest pain, near-syncope, syncope.

1. Why?
Cardiac:
• Valvular heart disease
•
Atrial Fibrillation ... exercise intolerance, chest ... Noncardiac: • Pulmonary ... #Fibrillation #Cardiology ... #Management #Algorithm
Mediastinal Widening - Differential Diagnosis

 • Vascular: Aortic dissection, Aortic anourysm, Enlarged pulmonary arteries, Venous or
- Differential Diagnosis ... arteries, Venous or arterial ... mass • Masses: Anterior ... #Differential #Diagnosis ... #pulmonary #radiology
Chest X-Ray Interpretation Checklist
Outline ALL bones
Check soft tissues
Assess heart borders
Is density, behind the heart the same
Chest X-Ray Interpretation ... Checklist Outline ... Interpretation #Checklist ... #radiology #diagnosis ... #pulmonary
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
Endocarditis checklist ... TTE +/- TEE) • Chest ... endocarditis w/ septic pulmonary ... #criticalcare # ... diagnosis #management
Chest Tube Placement Checklist
PREPARATION
 o Consent
 o Position Patient
 o Monitoring
 o Time Out
 o Review
Checklist PREPARATION ... Sterile gloves o Atrium ... #ChestTube #Checklist ... #Procedure #Management ... #CriticalCare #
EKG in Acute Pulmonary Embolism
The sensitivity and specificity for EKG findings in acute PE are low.
EKG
common finding) • Atrial ... also a result of atrial ... Leads (VI-V3) +/- Inferior ... Embolism #AcutePE #diagnosis ... #cardiology #electrocardiogram
Hyperacute Hypoxemia - Workup and Management
Differential Diagnosis: Aspiration, Flash Pulmonary Edema, Mucous Plugging, Bronchospasm, Pulmonary Embolism,
Hypoxemia - Workup and Management ... Aspiration, Flash Pulmonary ... Bronchospasm, Pulmonary ... STAT CXR, CTA Chest ... #criticalcare
Bradycardia - Differential Diagnosis Framework and Management
Narrow Complex Bradycardia:
 • Regular: Sinus Bradycardia, AFib w/ AV
- Differential Diagnosis ... AFib w/ AV Block, Atrial ... #Differential #Diagnosis ... #Management #cardiology ... #criticalcare
Wellens' Sign: LAD-T Wave Inversion 
Life threatening T wave inversions in precordial leads. Often V2-V3 
Specific
becoming acute anterior ... period without chest ... Serial EKGS in pts ... Electrocardiogram #Diagnosis ... #Cardiology