15 results
EKG in Acute Pulmonary Embolism
The sensitivity and specificity for EKG findings in acute PE are low.
EKG
Embolism The sensitivity ... evaluating for ... other causes of ... #Embolism #AcutePE ... #diagnosis #cardiology
Intraoperative Circulatory Embolus - Guidelines for Crises in Anaesthesia
Causes: thrombus, fat, amniotic fluid, air/gas.
Signs: hypotension, tachycardia,
in Anaesthesia Causes ... Consider thrombolysis e.g ... mainstay of initial management ... Intraoperative #Checklist ... #Diagnosis #Management
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
Endocarditis checklist ... Initial evaluation ... with multiple embolic ... #criticalcare #diagnosis ... #management
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Cause Injury By ... Differential Diagnosis ... ↑ ESR, CRP • EKG ... Treat underlying cause ... #management #cardiology
How do you work up an ischemic CVA?
A) Initial Evaluation
 • ABCs
 • IV access, monitor
A) Initial Evaluation ... Cardioembolic: • ECG ... No major-risk embolic ... stroke #workup #diagnosis ... #checklist #neurology
Cardiac Arrest - Guidelines for Crises in Anaesthesia

The probable cause is one or more of: something
delegate task of evaluating ... • Check ECG rhythm ... Anaphylaxis (→ 3-1) Embolism ... CardiacArrest #Checklist ... #Diagnosis #Management
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia

If the patient is unconscious, signs of cardiac
CM5 continuous ECG ... Obtain a 12-lead ECG ... consultation with cardiology ... Intraoperative #Checklist ... #Diagnosis #Management
Increased Airway Pressure - Guidelines for Crises in Anaesthesia

Using these steps from start to end should
blood gas, 12-lead ECG ... POTENTIAL CAUSES ... o Circulatory embolus ... Intraoperative #Checklist ... #Diagnosis #Management
Can’t Intubate, Can’t Oxygenate (CICO) - Guidelines for Crises in Anaesthesia
This is the last resort when
Guidelines for Crises ... optimal airway management ... airway expertise e.g ... Intraoperative #Checklist ... #Diagnosis #Management
Intraoperative Tachycardia - Guidelines for Crises in Anaesthesia
Tachycardia in theatre is often due to inadequate depth
obtain 12-lead ECG ... : central line/wire ... ); circulatory embolus ... Intraoperative #Checklist ... #Diagnosis #Management