21 results
S1Q3T3 on ECG in a patient with Acute Pulmonary Embolism

- Dr. Sarah Medeiros @DrSarahEM

#S1Q3T3 #Pulmonary #Embolism
a patient with Acute ... Pulmonary Embolism ... DrSarahEM #S1Q3T3 #Pulmonary ... #Embolism #AcutePE ... #Clinical #ECG
#EKG taken on a patient with an acute pulmonary embolism with right heart strain showing tachycardia,
#EKG taken on a ... patient with an acute ... pulmonary embolism ... in V1 - V4 #Clinical ... pulmonaryembolism #AcutePE
Pulmonary Embolism on EKG

- Dr. Josh Farkas  @PulmCrit

Note Right Axis Deviation, T-Wave Inversion on Inferior
Pulmonary Embolism ... on EKG - Dr. ... Anterior Leads #Pulmonary ... #Embolism #AcutePE ... #EKG #clinical
RV Strain in Pulmonary Embolism on POCUS Echocardiogram

A patient is brought by EMS intubated and hypotensive.
RV Strain in Pulmonary ... your next step in management ... #RVStrain #Pulmonary ... Echocardiogram #clinical ... ultrasound #DSign #AcutePE
Medical Management of Acute RV Failure
 • Evaluate and Treat Etiology of RV Failure [e.g. Acute
Medical Management ... of Acute RV Failure ... of RV Failure [e.g ... involving RV, Pulmonary ... Embolism] • Evaluate
Shock and Vasoactive Drugs 
1) Determine type and etiology of shock
 • Distributive: Sepsis, Anaphylaxis, Neurogenic
• Cardiogenic: Acute ... MI, Acute Heart ... Pericardial tamponade, Pulmonary ... embolism 2) Understand ... inopressors #diagnosis #management
Pulmonary Embolism Treatment
Systemic Thrombolysis
 - Exclude contraindications.
 - Indications:
   - Massive PE (definite indication)
Pulmonary Embolism ... Low dose 0.5 mg/kg ... @nickmmark #Pulmonary ... #Embolism #Treatment ... #AcutePE #Management
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Culture (+): Acute ... Cerebral > Splenic, pulmonary ... • Paradoxical emboli ... ↑ ESR, CRP • EKG ... Endocarditis #diagnosis #management
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
endocarditis w/ septic pulmonary ... with multiple embolic ... • Aggressive management ... Internet Book of Critical ... criticalcare #diagnosis #management
Vasopressors Table 
Rough properties by Target Receptor, Heart Rate/Inotropy, Systemic Vascular Resistance, Cardiac Output, Blood Pressure,
Blood Pressure, Pulmonary ... 0.375-0.75 mcg/kg ... Internet Book of Critical ... Properties #Table #Pharmacology ... #Effect #Management