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diagnosis management anesthesia anesthesiology intraoperative differential cardiac cardiology clinical neurology tachycardia treatment airway anaphylaxis ankles arrest avrt bradycardia cardiacarrest cico
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
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia If prolonged or ≥ 39 C this is a
maintained fever CAUSES ... Sepsis (→ 3-14) e.g ... #Differential #Causes ... Anesthesiology #Anesthesia #Checklist ... Diagnosis #Management #Workup
How do you work up an ischemic CVA? A) Initial Evaluation • ABCs • IV access, monitor
How do you work ... Evaluate underlying cause ... Cardioembolic: • ECG ... #CVA #stroke #workup ... #diagnosis #checklist
Hypotension - Guidelines for Crises in Anaesthesia Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
pressure as a cause ... and positioning (e.g ... (eg steroid dependency ... Intraoperative #Checklist ... Diagnosis #Management #Workup
Cardiac Tamponade - Guidelines for Crises in Anaesthesia Caused by an accumulation of blood, pus, effusion fluid
, e.g. central line ... pericardiocentesis kit (eg ... of underlying cause ... Intraoperative #Checklist ... Diagnosis #Management #Workup
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
trolley and 12-lead ECG ... CM5 continuous ECG ... Obtain a 12-lead ECG ... Intraoperative #Checklist ... Diagnosis #Management #Workup
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 ... Guidelines for crises ... Intraoperative #Checklist ... Diagnosis #Management #Workup
Increased Airway Pressure - Guidelines for Crises in Anaesthesia Using these steps from start to end should
Consider potential causes ... blood gas, 12-lead ECG ... POTENTIAL CAUSES ... Intraoperative #Checklist ... Diagnosis #Management #Workup
Cardiac Arrest - Guidelines for Crises in Anaesthesia The probable cause is one or more of: something
• Check ECG rhythm ... POTENTIAL CAUSES ... CardiacArrest #Checklist ... Intraoperative #Checklist ... Diagnosis #Management #Workup
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