15 results
Lead AVR on ECG
1. Acute myocardial infarction: ST elevation > 1.5 mm in aVR, indicative of
Lead AVR on ECG ... • Classic EKG ... tachycardia ddx: AVNRT ... #AVR #leadAVR #ecg ... electrocardiogram #diagnosis #ekg
Supraventricular Tachycardia EKG

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

Her heart
Supraventricular Tachycardia EKG ... Here’s a great ECG ... @EM_RESUS #AVRT ... #Tachycardia #EKG ... #Cardiology #EKG
Can’t Intubate, Can’t Oxygenate (CICO) - Guidelines for Crises in Anaesthesia
This is the last resort when
Can’t Oxygenate (CICO ... Guidelines for Crises ... done. ❸ Declare CICO ... airway expertise e.g ... Intraoperative #Checklist
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia
If prolonged or ≥ 39 C this is a
Surgical devices, e.g ... Sepsis (→ 3-14) e.g ... malignant syndrome (e.g ... #Hyperthermia #Differential ... #Anesthesia #Checklist
Approach to ECGs - Syncope Syndromes
Electrolytes
 • ↑K - brady, peak T, wide QRS, no P,
brady, peak T, wide ... assoc with 1K, AV ... Syncope #Syndromes #ECG ... #EKG #Checklist ... electrocardiogram #differential
Intraoperative Circulatory Embolus - Guidelines for Crises in Anaesthesia
Causes: thrombus, fat, amniotic fluid, air/gas.
Signs: hypotension, tachycardia,
Causes: thrombus ... Consider thrombolysis e.g ... over 2 h (>65 kg ... Anesthesiology #Anesthesia ... Intraoperative #Checklist
Hypotension - Guidelines for Crises in Anaesthesia

Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
and positioning (e.g ... (eg steroid dependency ... #Hypotension #Differential ... Anesthesiology #Anesthesia ... Intraoperative #Checklist
Approach to ECGs - Tachy/Bradyarrhythmias
Tachyarrhythmias - HR > 100
Wide
  (1) VT - DANGER
  (2)
200ms from longer pause ... can function) Wide ... bradyarrhythmia #ECG ... #EKG #diagnosis ... electrocardiogram #cardiology #differential
Cardiac Tamponade - Guidelines for Crises in Anaesthesia
Caused by an accumulation of blood, pus, effusion fluid
effusion fluid or air ... , e.g. central line ... pericardiocentesis kit (eg ... Anesthesiology #Anesthesia ... Intraoperative #Checklist
Palpitations - Differential Diagnosis Framework

What?
• It is an unpleasant awareness or sensation that the heart is
Palpitations - Differential ... exam • 12-lead ECG ... Valvular disease (e.g ... or AVRT • Standing ... bending over: AVNRT