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diagnosis differential management shock acutepe treatment algorithm cardiacstresstest cardiology classification clinical coronarystenosis curves ecg electrocardiogram emergencymedicine endocarditis guyton lexiscan myocardialperfusionimaging
#EKG taken on a patient with an acute pulmonary embolism with right heart strain showing tachycardia,
#EKG taken on a ... with an acute pulmonary ... embolism with right ... branch block, ST ... pulmonaryembolism #AcutePE #criticalcare
Endocarditis checklist Initial evaluation • Peripheral blood cultures (three sets at three different sites) • Additional culture
Endocarditis checklist ... endocarditis w/ septic pulmonary ... with multiple embolic ... block (+/- daily EKG ... #criticalcare #
Shock Classification and Differential Diagnosis SHOCK • MAP <65, SBP <90, drop in SBP > 40 •
High CO / Low SVR ... Failure, Toxins/Medications ... , CVP > 12 • Pulmonary ... Embolism, Tension ... Diagnosis #Types #criticalcare
Shock - Differential Diagnosis Framework - MAP <65. SBP <90, drop in SBP > 40 -
Failure, Toxins/Medications ... • Obstructive: Pulmonary ... Embolism, Tension ... ) UOP > 0.5 cc/kg ... Differential #Diagnosis #criticalcare
Pulmonary Embolism Treatment Systemic Thrombolysis - Exclude contraindications. - Indications: - Massive PE (definite indication)
Pulmonary Embolism ... - Indications ... Low dose 0.5 mg/kg ... #Embolism #Treatment ... AcutePE #Management #CriticalCare
Approach to Undifferentiated Shock - OnePager Summary Shock occurs when there is inadequate blood flow (CO) &
Cardiac Tamponade, Pulmonary ... Embolism, Outflow ... Pipes Problem (↓ SVR ... thyrotoxicosis), Medications ... guyton #curves #criticalcare
Nuclear myocardial perfusion imaging (MPI) may be performed by either single-photon emission CT (SPECT) or positron
Acute pulmonary ... embolism Acute ... myocardium Severe pulmonary ... when baseline EKG ... greater than 1 mm ST-segment
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