74 results
Multifocal Atrial Tachycardia (MAT)
• At least 3 different P wave morphologies: 
• Rate 100-180
• Irregular 
Etiology
• Hypoxia • Pulmonary ... hypertension Management ... Cardiology #Diagnosis #ECG ... #EKG #Management
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Pulmonary Embolism ... Triage EKG (no prior ... Sister had MI in ... thread for POCUS Pulmonary ... RJonesSonoEM #Pulmonary
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Cardiogenic Shock - Management ... Evaluation - EKG ... treatment for acute MI ... Nephrotoxins (e.g ... HeartFailure #Cardiology #Management
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
Cardiovascular MRI ... gallop • Abnormal ECG ... cardiac death Management ... Myocarditis #Diagnosis #Management
Hypoxemia / Hypoxia - Rapid Response Management Algorithm

Stridor - Upper airway pathology:
 • Anaphylaxis
 • Foreign
Rapid Response Management ... pneumonia • Water: pulmonary ... CNS depression (e.g ... differential #Diagnosis #Management ... Algorithm #rapid #pulmonary
Management Algorithm for Confusion
- Substrate verification, glucose, oxygen checks
- Toxidrome present
- Focal findings on neurologic examination
-
Management Algorithm ... electrolytes, CXR, ECG ... CSF, thyroid, MRI ... AlteredMentalStatus #Delirium #Management
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
endocarditis w/ septic pulmonary ... if suspected (e.g ... block (+/- daily EKG ... • Aggressive management ... criticalcare #diagnosis #management
Diastolic Function Grading - Schematic diastolic filling patterns

I: impaired relaxation, II: moderate diastolic dysfunction (pseudonormal), III:
LV compliance), ECG ... electrocardiogram, MI ... velocities, PVF: pulmonary ... atrium, PASP: pulmonary
Cardiac Stress Testing
Exercise:
 • Everyone who can exercise should!
 • They must be able to raise
arrythmias Diagnostics: EKG ... ($$$), PET CT/MRI ... Testing #cardiology #management
Medical Management of Acute RV Failure
 • Evaluate and Treat Etiology of RV Failure [e.g. Acute
Medical Management ... of RV Failure [e.g ... involving RV, Pulmonary ... rightventricular #cardiology #management