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cardiology differential workup anesthesia anesthesiology intraoperative ekg electrocardiogram bradycardia cardiac classification criticalcare endocarditis myocarditis syncope admissions admitting arrest atrioventricular biopsy
Approach to ECGs - Syncope Syndromes Electrolytes • ↑K - brady, peak T, wide QRS, no P,
Approach to ECGs ... assoc with 1K, AV block ... Syncope #Syndromes #ECG ... #EKG #Checklist ... #diagnosis #cardiology
Endocarditis checklist Initial evaluation • Peripheral blood cultures (three sets at three different sites) • Additional culture
Endocarditis checklist ... if suspected (e.g ... (+/- daily EKG) ... of infection (e.g ... #criticalcare #diagnosis
Summary of Heart Blocks 1st Degree Heart Block: • Prolonged PR >200ms (5 small squares). • Narrow
Summary of Heart ... Brady Management ... #Diagnosis #EKG ... electrocardiogram #ecg ... #cardiology
Atrioventricular Blocks (AV blocks) - ECG Diagnosis Summary First Degree AV Block • The P wave is
(AV blocks) - ECG ... Diagnosis Summary ... group-beating" on the ECG ... #cardiology #ekg ... #ecg #diagnosis
Myocarditis Diagnosis • Endomyocardial biopsy (gold standard, rarely performed) • Clinical presentation • Cardiovascular MRI Clinical •
Myocarditis Diagnosis ... gallop • Abnormal ECG ... Dysrhythmia, heart block ... cardiac death Management ... #Management #Cardiology
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 ... #Myocarditis #diagnosis ... #management #cardiology ... #summary #biopsy
Bradycardia 1) First Steps: IV, O2, Monitors, ECG, Pads on patient, Crash Cart in room. Is patient
O2, Monitors, ECG ... Chest Pain • ECG ... Connect ECG Leads ... #bradycardia #diagnosis ... #differential #management
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia If prolonged or ≥ 39 C this is a
Surgical devices, e.g ... Sepsis (→ 3-14) e.g ... malignant syndrome (e.g ... amphetamines) Toxic: • Radiologic ... #Diagnosis #Management
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
trolley and 12-lead ECG ... CM5 continuous ECG ... Obtain a 12-lead ECG ... Intraoperative #Checklist ... #Diagnosis #Management
Admitting in the ICU - Checklist VITALS: If bad, stop and go see the patient immediately; you
Admitting in the ICU - Checklist ... esp in work-up/management ... note, discharge summary ... will also get an EKG ... #diagnosis #workup
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