24 results
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
Treatment of Stable ... Converts - Probably AVnRT ... Treat underlying cause ... Treat underlying cause ... #Tachycardia #Treatment
Tachycardia - Differential Diagnosis Table - Wide vs Narrow, Regular vs Irregular

Regular Rhythm - Narrow Complex
Differential Diagnosis Table ... • ST vs SVT (AVNRT ... whether AF is cause ... Differential #Diagnosis #Table ... Irregular #causes
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
Orthopedic Essentials - Spinal Trauma and Spine Classification 
DENIS THREE COLUMN CONCEPT
Anterior column:
LF: Ligamentum ... process fracture Stable ... fractures: Don't cause ... deficit, still able ... Cauda equina Treatment
Shock - Differential Diagnosis by Classification
Reflex Syncope 
 - Vasovagal syncope
   • Prolonged standing
- Medication side ... effect (e.g. αblockers ... - Medication side ... Classification #Table ... #Causes
Common Vasopressors and Inotropes
Norepinephrine (NE)
 - Indication: Distributive shock (1st line for septic shock), Cardiogenic shock
(mild ↑CO) - Side ... is not desired (e.g ... is not desired (e.g ... Bradyarrhythmias, Some cases ... Inotropes #comparison #table
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
Treatment of Stable Wide-Complex Tachycardia
Regular
 • If ventricular tachycardia or uncertain rhythm:
    -
Treatment of Stable ... Wide-Complex Tachycardia ... nodal agents (e.g ... irregular protocol #Stable ... #Tachycardia #Treatment
Modified Valsalva Maneuver Insturctions

- 43% vs 17% response compared to the standard valsalva maneuver

Per ACLS and
the first-line treatment ... for stable AVNRT ... lay the patient flat
Pisa Syndrome (pleurothotonus) on Physical Exam
A tonic flexion of the trunk of the body to one
the body to one side ... Caused commonly ... by: - drugs (e.g ... neurodegenerative disorders (eg ... Treatment: anticholinergics