34 results
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
DETROIT CARDIOGENIC ... visualization with use of ultrasound ... TIMI III flow in all ... DCSI #Initiative #Management ... #Cardiology
Outpatient Hypertension Management Algorithm
Monotherapy: 
 • Thiazide/thiazide-like 
 • ACE-I (non-black patients), 
 • ARB
Outpatient Hypertension Management ... Combined: • ACE-I ... Stoke* • Aortic Dissection ... Amy Chung, MD, MSc ... #Hypertension #Management
Anterior Shoulder Dislocation - ED Management
The shoulder is the most commonly dislocated major joint, 95% of
Dislocation - ED Management ... glenoid) • ED Management ... Dislocation #Anterior #Radiology ... XRay #Diagnosis #Management ... Orthopedics #Sports #MSK
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Shock - Management ... (no B-lines on ultrasound ... NSAlDs, ACE-inhibitors ... #HeartFailure #Cardiology ... #Management
Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
carpal bones should ... carpal bones should ... Scaphoid #Carpal #Radiology ... XRay #Diagnosis #Management ... Orthopedics #Sports #MSK
Evaluation of Electrical Injury in the Emergency Department 

Common Injuries by System:

CNS - Seizure, coma, spinal
ED arrival MSK ... dislocations (posterior shoulder ... - AC), rhabdomyolysis ... especially with AC ... Evaluation #Diagnosis #Management
Dystocia Maneuvers
1. McRoberts: hyperflexion/adduction of both hips (knees against lateral abdomen) - requires an assistant at
rotate anterior shoulder ... rotate posterior shoulder ... in opposite direction ... Place mom in all-fours ... obstetrics #obgyn #management
Hydroxyapatite Deposition Disease (HADD) - MSK Radiology
Imaging Findings:
 • Ovoid hypointense structures along the bursal surface
Disease (HADD) - MSK ... Radiology Imaging ... low-signal on all ... ) • Milwaukee shoulder ... #diagnosis #msk
Myocarditis 

5 Principles of
Myocarditis:
1. Build clinical suspicion
2. Decide on EMBx
3. Manage acute cardiac injury
4. Manage chronic
- Acute HF, Cardiogenic ... agent, steroids, AC ... Myocarditis #diagnosis #management ... #cardiology #summary
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
capitate ("apple") should ... tea cup") which should ... injury • ED Management ... Wrist #Carpal #Radiology ... Orthopedics #Sports #MSK