8 results
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
Ischemic Symptoms  EKG ... Obtain femoral arterial ... visualization with use of ultrasound ... Angiography & PCI ... DCSI #Initiative #Management
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
murmur 3/6) - Pulmonary ... Obtain EKG if: ... days before Pulmonary ... CARP, DECREASE V trials ... medical and surgical management
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis

The most common causes of hyperlactatemia are usually:
Lactic Acidosis - Differential ... / hypoxemia -> focus ... output - Acute pulmonary ... ’s • Reduced Arterial ... Acidosis #Elevation #Differential
Increased Airway Pressure - Guidelines for Crises in Anaesthesia

Using these steps from start to end should
help AND check arterial ... blood gas, 12-lead ECG ... o Aspiration, pulmonary ... Airway #Pressure #Differential ... Checklist #Diagnosis #Management
In order to get good visualization of the RV, Intravenous Definity (brand name echo contrast material)
echo contrast material ... is the cardiac ultrasound ... described for Pulmonary ... #Clinical #POCUS ... Echocardiogram #Definity #A4C
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Libman Sacks) • Atrial ... Cerebral > Splenic, pulmonary ... Marantic (NTBE) Differential ... ↑ ESR, CRP • EKG ... Endocarditis #diagnosis #management
Immune Reconstitution Inflammatory Syndrome - Overview of IRIS

What Is IRIS?
	• A state of hyperinflammatory response that
leukoencephalopathy (PML ... Calmette-Guérin (BCG ... Leishmaniasis Differential ... therapy (COAT TRIAL ... #Diagnosis #Management
Severe Influenza Checklist

Diagnostic tests 
 - Blood cultures x2 
 - Sputum gram stain & culture
antigens - Nares PCR ... function tests - Ultrasound ... Beta-lactam until bacterial ... lab-confirmed influenza, pulmonary ... Influenza #Checklist #Management