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diagnosis cardiology differential anesthesiology checklist intraoperative workup treatment algorithm anaphylaxis avrt bradyarrhythmia classification clinical embolism embolus hyperkalemia k leadavr narrowcomplex
Lead AVR on ECG 1. Acute myocardial infarction: ST elevation > 1.5 mm in aVR, indicative of
Lead AVR on ECG ... • Classic EKG ... #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
EKG Here’s a ... great ECG case of ... @EM_RESUS #AVRT ... #EKG #ECG #Electrocardiogram ... #Cardiology #EKG
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
Treatment of Stable Narrow-Complex Tachycardia Regular Rhythm: • Attempt vagal maneuvers • Give adenosine 6 milligrams IV
Converts - Probably AVnRT ... or AVRT - Observe ... Control rate (e.g ... Control rate (e.g ... #Treatment #management
Palpitations - Differential Diagnosis Framework What? • It is an unpleasant awareness or sensation that the heart is
exam • 12-lead ECG ... dysfunction • Bradycardia-tachycardia ... Valvular disease (e.g ... maneuvers: SVT-AVNRT ... or AVRT • Standing
Shock - Differential Diagnosis by Classification Reflex Syncope - Vasovagal syncope • Prolonged standing
Bradyarrhythmias • Sinus bradycardia ... • Ventricular tachycardia ... effect (e.g. αblockers ... effect (e.g. sedation ... Classification #Table #Causes
Intraoperative Circulatory Embolus - Guidelines for Crises in Anaesthesia Causes: thrombus, fat, amniotic fluid, air/gas. Signs: hypotension, tachycardia,
Causes: thrombus ... : hypotension, tachycardia ... Consider thrombolysis e.g ... over 2 h (>65 kg ... Anesthesiology #Anesthesia
Intraoperative Tachycardia - Guidelines for Crises in Anaesthesia Tachycardia in theatre is often due to inadequate depth
Guidelines for Crises ... obtain 12-lead ECG ... : central line/wire ... Anesthesiology #Anesthesia ... Checklist #Diagnosis #Management
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
• Unexplained tachycardia ... or bradycardia ... alternate vasopressor (e.g ... Anesthesiology #Anesthesia ... Checklist #Diagnosis #Management
Hyperkalemia - Diagnosis and Management - GrepMed Handbook S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
palpitations, bradycardia ... heparinized tube) • ECG ... badness): Peak T, flat ... only if no clear cause ... Monitor for tachycardia
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