22 results
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia

If the patient is unconscious, signs of cardiac
trolley and 12-lead ... Obtain a 12-lead ... consultation with cardiology ... #Anesthesia #Intraoperative ... Checklist #Diagnosis #Management
Lead AVR on ECG
1. Acute myocardial infarction: ST elevation > 1.5 mm in aVR, indicative of
Lead AVR on ECG ... anterior descending (LAD ... predictor of recurrent ischemic ... aVR • Classic EKG ... #differential #cardiology
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
have no pain - LAD ... avR - proximal LAD ... wave inversion in avL ... #ECG #EKG #diagnosis ... electrocardiogram #cardiology
Wraparound LAD STEMI on EKG
47 year old with chest pain. Ectopic atrial rhythm with ST elevations.
on EKG 47 year ... The mother of all ... a PFO during a bowel ... #STEMI #EKG #clinical ... #cardiology #electrocardiogram
Bradycardia
1) First Steps: IV, O2, Monitors, ECG, Pads on patient, Crash Cart in room. Is patient
: Bad block? ... Ischemia? ... Patients DIE: Drugs, Ischemia ... #differential #management ... #cardiology
Leukostasis vs Tumor Lysis Syndrome
Leukostasis:
 • Pathophysiology: Large, immature blasts and high WBC count cause hyperviscosity
have fever - ACS ... AKI, acute limb ischemia ... , bowel infarction ... unless worrisome EKG ... TLS #diagnosis #management
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
Infarction  Ischemic ... Symptoms  EKG ... ACTIVATE CATH LAB ... DCSI #Initiative #Management ... #Cardiology
Hypotension - Guidelines for Crises in Anaesthesia

Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
reservoir bag and APL ... and positioning (e.g ... : o Cardiac ischaemia ... Endocrine cause (eg ... Checklist #Diagnosis #Management
Intraoperative Tachycardia - Guidelines for Crises in Anaesthesia
Tachycardia in theatre is often due to inadequate depth
reservoir bag and APL ... pressure, obtain 12-lead ... ECG if possible ... Anesthesiology #Anesthesia ... Checklist #Diagnosis #Management
Cardiac Event Monitoring Devices - Compared
Ambulatory ECG (Hotter):
 • Advantages: Continuous recording, records asx events, all
Compared Ambulatory ECG ... records asx events, all ... (most) ECG leads ... Monitoring #Devices #Comparison ... #cardiology #management