6 results
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
Endomyocardial biopsy ... Unexplained sinus tachycardia ... gallop • Abnormal ECG ... Dysrhythmia, heart block ... #Cardiology
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
Treatment of Stable ... Control rate (e.g ... Control rate (e.g ... #Treatment #management ... #cardiology #algorithm
Treatment of Stable Wide-Complex Tachycardia
Regular
 • If ventricular tachycardia or uncertain rhythm:
    -
Treatment of Stable ... nodal agents (e.g ... diltiazem or B-blockers ... #Treatment #management ... #cardiology #algorithm
Myocarditis 

5 Principles of
Myocarditis:
1. Build clinical suspicion
2. Decide on EMBx
3. Manage acute cardiac injury
4. Manage chronic
Pericarditis, Tamponade EKG ... Findings: - AV block ... Low voltage Treatment ... #cardiology #summary ... #biopsy
Boxer's Fracture - ED Management
Be sure to assess for wounds in patients with fractures of the
using hematoma block ... or ulnar nerve block ... Boxers #Fracture #Thumb ... #XRay #Diagnosis ... #Orthopedics #MSK
Perhaps quite too often, the knee-jerk reaction to an elevated Troponin is to call our friends
are typically able ... Now consider Tachycardia ... to effectively block ... echocardiogram #management ... criticalcare #foamed #treatment