13 results
Supraventricular Tachycardia EKG

Here’s a great ECG case of a 50-year-old lady who presented with palpitations

Her heart
Here’s a great ECG ... case of a 50-year-old ... Is it wide or narrow ... @EM_RESUS #AVRT ... #Cardiology #EKG
Tachycardia - Differential Diagnosis Table - Wide vs Narrow, Regular vs Irregular

Regular Rhythm - Narrow Complex
Differential Diagnosis Table ... • ST vs SVT (AVNRT ... Differential #Diagnosis #Table ... Irregular #causes ... #cardiology
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
Treatment of Stable ... Converts - Probably AVnRT ... Treat underlying cause ... Treat underlying cause ... Treatment #management #cardiology
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia

If the patient is unconscious, signs of cardiac
Intraoperative Cardiac ... CM5 continuous ECG ... consultation with cardiology ... Ischemia #Ischaemia #Anesthesiology ... #Anesthesia #Intraoperative
Mains Electricity Failure - Guidelines for Crises in Anaesthesia
Unexpected total power failure is rare and unpredictable.
• If immediate evacuation ... until patient is stable ... • Consider evacuation ... Electricity #Failure #Anesthesiology ... #Anesthesia #Intraoperative
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia
• Unexplained hypotension
• Unexplained bronchospasm (wheeze may be absent
Intraoperative Anaphylaxis ... alternate vasopressor (e.g ... as patient is stable ... #Anaphylaxis #Anesthesiology ... #Anesthesia #Intraoperative
Can’t Intubate, Can’t Oxygenate (CICO) - Guidelines for Crises in Anaesthesia
This is the last resort when
Guidelines for Crises ... airway expertise e.g ... Guidelines for crises ... Intubation #Difficult #Anesthesiology ... #Anesthesia #Intraoperative
Intraoperative  Bradycardia - Guidelines for Crises in Anaesthesia
Bradycardia in theatre should not be treated as
Intraoperative ... Consider known drug causes ... (eg. remifentanil ... #Bradycardia #Anesthesiology ... Management #Workup #Cardiology
Cardiac Arrest - Guidelines for Crises in Anaesthesia

The probable cause is one or more of: something
The probable cause ... delegate task of evaluating ... • Check ECG rhythm ... #Differential #Anesthesiology ... #Anesthesia #Intraoperative
Intraoperative Tachycardia - Guidelines for Crises in Anaesthesia
Tachycardia in theatre is often due to inadequate depth
Intraoperative Tachycardia ... obtain 12-lead ECG ... : central line/wire ... #Tachycardia #Anesthesiology ... #Anesthesia #Intraoperative