6 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
Severe Influenza Checklist

Diagnostic tests 
 - Blood cultures x2 
 - Sputum gram stain & culture
antigens - Nares PCR ... function tests - Ultrasound ... Beta-lactam until bacterial ... , pulmonary infiltrates ... #Checklist #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
Endocarditis Summary

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

What Is IRIS?
	• A state of hyperinflammatory response that
Lymphadenitis, pulmonary ... leukoencephalopathy (PML ... Calmette-Guérin (BCG ... therapy (COAT TRIAL ... Differential #Diagnosis #Management