34 results
Pulmonary Embolism on EKG

- Dr. Josh Farkas  @PulmCrit

Note Right Axis Deviation, T-Wave Inversion on Inferior
Pulmonary Embolism ... on EKG - Dr. ... #Pulmonary # ... Embolism #AcutePE #EKG ... #clinical #ecg
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
Endocarditis checklist ... endocarditis w/ septic pulmonary ... if suspected (e.g ... block (+/- daily EKG ... of infection (e.g
Pulmonary Embolism on ECG 

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
on ECG Mid ... Triage EKG (no prior ... #Embolism #ECG ... #EKG #Electrocardiogram ... #clinical #cardiology
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Shock - Management Checklist ... Evaluation - EKG ... Revascularization, treatment ... Nephrotoxins (e.g ... channel blocker (eg
Vasopressors Table 
Rough properties by Target Receptor, Heart Rate/Inotropy, Systemic Vascular Resistance, Cardiac Output, Blood Pressure,
Vasopressors Table ... Blood Pressure, Pulmonary ... /kg/min - Milrinone ... Book of Critical ... Vasopressors #Properties #Table
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
Treatment of Stable ... Control rate (e.g ... with caution in pulmonary ... Control rate (e.g ... #Tachycardia #Treatment
Lung Abscess
Microbiology:
 • Polymicrobial 
 • Anaerobes (most common) 
Clinical: 
 • Indolent symptoms that evolve
most common) Clinical ... , hemoptysis Treatment ... • Carbapenem (e.g ... Abscess #Diagnosis #Pulmonary ... #Clinical #CXR
Left Main Coronary Artery Thrombus seen on Angiography

“Mother of all coronary thrombi”.  55 year old
old male with Anterior ... Cardiogenic shock, ECG ... established, but died on table ... Angiogram #CathLab #clinical
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia
If prolonged or ≥ 39 C this is a
39 C this is a clinical ... Treatment depends ... Surgical devices, e.g ... Sepsis (→ 3-14) e.g ... malignant syndrome (e.g
Intraoperative Thompson Test - Assessing the Achilles’ tendon following a surgical repair for rupture. The calf
Intraoperative Thompson ... the examination table ... The clinician squeezes ... accessory muscles (eg ... Thompson #Test #Intraoperative