4 results
Chest Pain - Diagnosis and Workup Algorithm

History and Exam
Acute life-threatening causes:
 • Acute myocardial infarction
 •
Algorithm History ... • Pulmonary embolism ... : • EKG • Bedside ... Pain #Diagnosis #Algorithm ... #workup
An Approach to Acute Dyspnea - Diagnostic Framework

From the HPI, PMH, vitals, focused physical exam (e.g.
physical exam (e.g ... one of 8 basic patterns ... Dyspnea #Acute #Workup ... #Algorithm #Diagnosis
Pulmonary Embolism on ECG 

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Pulmonary Embolism ... Triage EKG (no prior ... See thread for POCUS ... Pulmonary embolism ... (II, III, AVF)(pattern
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6th ED
ICU-card
«ICU, Formulas & Drugs»
HEMODYNAMIC PATTERNS
Condition
SAP
CVP

PAP PCWP

CO C(a-v)02 PVR

SVR
Hypovolemic shock
↓
↓
↓
↓
↓
↑
↑
↑
Cardiogenic shock
↓
1
↑
1

1
↑

Septic shock
↓
↓
↓
↓
↑
↓
↓
↓
Cardiac Tamponade
.
↑
↑
1
↓

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RV
» HEMODYNAMIC PATTERNS ... →↑ Pulmonary Embolism ... Index CARDIAC WORK ... LCWI 3.4-4.2 kg ... RCWI Cardiac Work