13 results
Approach to ECGs - Tachy/Bradyarrhythmias
Tachyarrhythmias - HR > 100
Wide
  (1) VT - DANGER
  (2)
different P waves in lead ... 200ms from longer pause ... #EKG #diagnosis ... electrocardiogram #cardiology ... #differential
Ventricular Fibrillation on POCUS Echocardiogram - Subcostal 4 Chamber

50's male witnessed arrest. Unknown hx. AED no
Fibrillation on POCUS Echocardiogram ... Prehosp ACLS-Asystole ... While getting 12 lead ... ECG, POCUS performed ... #ultrasound #Cardiology
Ventricular Fibrillation on POCUS Echocardiogram - Parasternal Short Axis

50's male witnessed arrest. Unknown hx. AED no
Fibrillation on POCUS Echocardiogram ... Prehosp ACLS-Asystole ... While getting 12 lead ... ECG, POCUS performed ... #ultrasound #Cardiology
Leukostasis vs Tumor Lysis Syndrome
Leukostasis:
 • Pathophysiology: Large, immature blasts and high WBC count cause hyperviscosity
high WBC count cause ... have fever - ACS ... limb ischemia, bowel ... unless worrisome EKG ... TLS #diagnosis #management
Increased Airway Pressure - Guidelines for Crises in Anaesthesia

Using these steps from start to end should
reservoir bag and APL ... blood gas, 12-lead ... ECG, chest X-ray ... Airway #Pressure #Differential ... Checklist #Diagnosis #Management
Palpitations - Differential Diagnosis Framework

What?
• It is an unpleasant awareness or sensation that the heart is
Palpitations - Differential ... Physical exam • 12-lead ... brain flow (VT/Vfib ... #Palpitations #Cardiology ... #Differential #
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
Causes of ST Segment ... Elevation - Differential ... ventricle pacing lead ... voltage Other Causes ... #ecg #ekg #electrocardiogram
Peripartum Cardiomyopathy - Summary
1. Definition
 • Towards the end of pregnancy to 5 months postpartum
exclude other causes ... Differential Diagnosis ... • Avoid ARB/ACE-I ... ., ACE/ARB) need ... #cardiology #treatment
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Septic Emboli Cause ... Marantic (NTBE) Differential ... ↑ ESR, CRP • EKG ... Endocarditis #diagnosis #management ... #cardiology
Perhaps quite too often, the knee-jerk reaction to an elevated Troponin is to call our friends
treat the primary cause ... patients with CAD ... “one size fits all ... #echocardiogram ... #management #clinical