16 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
Approach to ECGs - Syncope Syndromes
Electrolytes
 • ↑K - brady, peak T, wide QRS, no P,
- Syncope Syndromes ... brady, peak T, wide ... #Syndromes #ECG ... #EKG #Checklist ... #diagnosis #cardiology
Pacemaker Placement Indications
Class I:
 • Third degree block
 • Advanced 2nd degree block
 • Symptomatic Mobitz
• Mobitz II + wide ... RBBB/LBBB with syncope ... • Reversible causes ... Indications #PPM #cardiology ... #management
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
Converts - Probably AVnRT ... Treat underlying cause ... Treat underlying cause ... Tachycardia #Treatment #management ... #cardiology #algorithm
Palpitations - Differential Diagnosis Framework

What?
• It is an unpleasant awareness or sensation that the heart is
exam • 12-lead ECG ... bending over: AVNRT ... consciousness • Near-syncope ... , or syncope: Hemodynamically ... #Palpitations #Cardiology
Purpose: We sought to develop a patient decision aid to promote shared decision-making for patients who
in the field of syncope ... natural frequency (e.g ... negative diagnostic evaluation ... #Management #PatientInfo ... #Cardiology #EM
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Cardiogenic Shock - Management ... Checklist Evaluation ... cardiogenic shock #Checklist ... #HeartFailure #Cardiology ... #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
Cardiac Arrest - Guidelines for Crises in Anaesthesia

The probable cause is one or more of: something
delegate task of evaluating ... • Check ECG rhythm ... CardiacArrest #Checklist ... 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