11 results
Lead AVR on ECG
1. Acute myocardial infarction: ST elevation > 1.5 mm in aVR, indicative of
Lead AVR on ECG ... ddx: AVNRT, AVRT ... (SVT) in wide cornplex ... #AVR #leadAVR #ecg ... #electrocardiogram
Supraventricular Tachycardia EKG

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

Her heart
Supraventricular Tachycardia ... great ECG case of ... Is it wide or narrow ... @EM_RESUS #AVRT ... #EKG #ECG #Electrocardiogram
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
Converts - Probably AVnRT ... or AVRT - Observe ... Treat underlying cause ... Treat underlying cause ... #Treatment #management
Intraoperative Circulatory Embolus - Guidelines for Crises in Anaesthesia
Causes: thrombus, fat, amniotic fluid, air/gas.
Signs: hypotension, tachycardia,
Intraoperative Circulatory ... Causes: thrombus ... : hypotension, tachycardia ... Consider thrombolysis e.g ... #Intraoperative
Approach to ECGs - Tachy/Bradyarrhythmias
Tachyarrhythmias - HR > 100
Wide
  (1) VT - DANGER
  (2)
Approach to ECGs ... Tachyarrhythmias - HR > 100 Wide ... 200ms from longer pause ... can function) Wide ... #electrocardiogram
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 ... #Intraoperative ... Checklist #Diagnosis #Management
Palpitations - Differential Diagnosis Framework

What?
• It is an unpleasant awareness or sensation that the heart is
exam • 12-lead ECG ... maneuvers: SVT-AVNRT ... or AVRT • Standing ... bending over: AVNRT ... Red Flag Symptoms
Hypotension - Guidelines for Crises in Anaesthesia

Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
and positioning (e.g ... non-sinus → 2-7 Tachycardia ... Anesthesiology #Anesthesia ... #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 Anaphylaxis - Guidelines for Crises in Anaesthesia
• Unexplained hypotension
• Unexplained bronchospasm (wheeze may be absent
Intraoperative Anaphylaxis ... • Unexplained tachycardia ... alternate vasopressor (e.g ... #Intraoperative ... Checklist #Diagnosis #Management