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cardiology management clinical differential algorithm pocus anesthesia anesthesiology checklist electrocardiogram intraoperative stemi acls adult aha2020 cardiacarrest effusion equivalents fibrillation hematology
Chest Pain - Diagnosis and Workup Algorithm History and Exam Acute life-threatening causes: • Acute myocardial infarction •
Chest Pain - Diagnosis ... Pulmonary embolism • Cardiac ... tamponade • Esophageal ... : • EKG • Bedside ... ultrasound • CXR
Approach to the Hypercoagulable State Arterial thromboembolism → Cardiac rhythm monitoring, Echocardiogram, Vascular imaging → Test for APS, particularly
thromboembolism → Cardiac ... rhythm monitoring, Echocardiogram ... • Provoked (e.g ... CBC, aPTT, +/- CXR ... #hematology #diagnosis
Cardiac Tamponade - Guidelines for Crises in Anaesthesia Caused by an accumulation of blood, pus, effusion fluid
Cardiac Tamponade ... iatrogenic causes, e.g ... indicated, start CPR ... pericardiocentesis kit (eg ... #Management #Workup
Adult ACLS - Cardiac Arrest Algorithm - AHA 2020 CPR Quality: • Push hard (at least 2
Adult ACLS - Cardiac ... Algorithm - AHA 2020 CPR ... min) and allow complete ... decreasing, reassess CPR ... recommendation (eg
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
is unconscious, signs ... trolley and 12-lead ECG ... CM5 continuous ECG ... Obtain a 12-lead ECG ... #Management #Workup
STEMI Equivalents on ECG • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
Equivalents on ECG ... J point • De Winter ... discordant QRS complex ... #Equivalents #ECG ... #EKG #diagnosis
Approach to ECGs - Ischemia MI = Biomarkers + ECG or echo/angiogram findings Pathologic Q - 1/3 height
= Biomarkers + ECG ... diffuse STE, diffuse PR ... Equivalents / Don't Miss Signs ... #Ischemia #ECG ... #EKG #diagnosis
Adult Cardiac Arrest - ACLS Circular Algorithm - AHA 2020 CPR Quality: • Push hard (at least
Algorithm - AHA 2020 CPR ... min) and allow complete ... decreasing, reassess CPR ... recommendation (eg ... pneumothorax, Tamponade
Leukostasis vs Tumor Lysis Syndrome Leukostasis: • Pathophysiology: Large, immature blasts and high WBC count cause hyperviscosity
, dyspnea, +/- CXR ... WBC >100k, + lab signs ... acid, Elevated Cr ... unless worrisome EKG ... Syndrome #TLS #diagnosis
Causes of ST Segment Elevation - Differential Diagnosis Framework STEMI: • Upsloping convex STE: "Pardee's sign" +
- Differential Diagnosis ... STE: "Pardee's sign ... • PR-segment ... #cardiology #ecg ... #ekg #electrocardiogram
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