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diagnosis management anesthesia anesthesiology intraoperative workup differential cardiology clinical dermatology skin tachycardia airway ankles atlas avrt basics bradycardia cico common
Supraventricular Tachycardia EKG Here’s a great ECG case of a 50-year-old lady who presented with palpitations Her heart
case of a 50-year-old ... Is it wide or narrow ... computer thinks it’s wide ... @EM_RESUS #AVRT ... #ECG #Electrocardiogram
Palpitations - Differential Diagnosis Framework What? • It is an unpleasant awareness or sensation that the heart is
exam • 12-lead ECG ... Valvular disease (e.g ... maneuvers: SVT-AVNRT ... bending over: AVNRT ... Red Flag Symptoms
Common Ulcers of the Ankles and Feet Chronic Venous Insuffciency This condition usually appears over the medial
the Ankles and Feet ... are irregular, flat ... areas of trauma (e.g ... callus or excess pigment ... uncomplicated cases
Hypotension - Guidelines for Crises in Anaesthesia Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
hypovolaemia or combined causes ... • Feel the airway ... and positioning (e.g ... (eg steroid dependency ... Intraoperative #Checklist
Increased Airway Pressure - Guidelines for Crises in Anaesthesia Using these steps from start to end should
should identify any cause ... surgery related cause ... • Feel the airway ... blood gas, 12-lead ECG ... Intraoperative #Checklist
Primary Dermatological Lesions Primary lesions are physical changes in the skin considered to be caused directly by
considered to be caused ... circumscribed flat ... subcutis may be felt ... features such as crusts ... pinhead-sized flat
Can’t Intubate, Can’t Oxygenate (CICO) - Guidelines for Crises in Anaesthesia This is the last resort when
Guidelines for Crises ... airway expertise e.g ... patient’s left hand side ... Guidelines for crises ... Intraoperative #Checklist
Intraoperative Tachycardia - Guidelines for Crises in Anaesthesia Tachycardia in theatre is often due to inadequate depth
Guidelines for Crises ... • Feel the airway ... obtain 12-lead ECG ... : central line/wire ... Intraoperative #Checklist
Intraoperative Bradycardia - Guidelines for Crises in Anaesthesia Bradycardia in theatre should not be treated as
Guidelines for Crises ... • Feel the airway ... Consider known drug causes ... (eg. remifentanil ... Intraoperative #Checklist
Stiff Person Syndrome (SPS) - Diagnosis and Management Summary Epidemiology: • Prevalence: 1-2 cases per million -
Prevalence: 1-2 cases ... antagonist muscles) • Wide ... rock-hard, board-like feel ... unit activity on EMG ... of diazepam • EMG
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