20 results
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
Admitting in the ICU - Checklist
VITALS: If bad, stop and go see the patient immediately; you
Admitting in the ICU - Checklist ... VITALS: If bad ... /management of shock ... will also get an EKG ... #ICU #Pearls #Checklist
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia

If the patient is unconscious, signs of cardiac
Obtain a 12-lead ... consultation with cardiology ... Intraoperative #Checklist ... #Diagnosis #Management ... #Workup
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Cardiogenic Shock - Management ... Checklist Evaluation ... - EKG & echocardiography ... NSAlDs, ACE-inhibitors ... #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
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia
If prolonged or ≥ 39 C this is a
Sepsis (→ 3-14) e.g ... amphetamines) Toxic: • Radiologic ... Anesthesiology #Anesthesia #Checklist ... #Diagnosis #Management ... #Workup
Leukostasis vs Tumor Lysis Syndrome
Leukostasis:
 • Pathophysiology: Large, immature blasts and high WBC count cause hyperviscosity
have fever - ACS ... limb ischemia, bowel ... or priapism • Lab ... unless worrisome EKG ... TLS #diagnosis #management
Intraoperative Massive Blood Loss - Guidelines for Crises in Anaesthesia
Expected or unexpected major haemorrhage

❶ Call for
interventional radiology ... • Use lab testing ... Intraoperative #Checklist ... #Diagnosis #Management ... #Workup
Can’t Intubate, Can’t Oxygenate (CICO) - Guidelines for Crises in Anaesthesia
This is the last resort when
last resort when all ... optimal airway management ... airway expertise e.g ... Intraoperative #Checklist ... #Workup
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
Ischemic Symptoms  EKG ... ACTIVATE CATH LAB ... TIMI III flow in all ... DCSI #Initiative #Management ... #Cardiology