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

- Dr. Sarah Medeiros @DrSarahEM

#S1Q3T3 #Pulmonary #Embolism
S1Q3T3 on ECG in ... a patient with Acute ... Pulmonary Embolism ... #Pulmonary #Embolism ... #AcutePE #Clinical
ECG changes in Pulmonary Embolism
 - 
Sinus tachycardia 
 - 
Complete or incomplete RBBB 
 -
ECG changes in Pulmonary ... Embolism - Sinus ... Non-specific ST ... #Embolism #AcutePE ... Electrocardiogram #S1Q3T3
Pulmonary Embolism: Odds Ratios for the ECG Components for the Risk of Hemodynamic Collapse or Death

Findings
Pulmonary Embolism ... #EKG #Findings ... #Pulmonary #Embolism ... #AcutePE #HighRisk ... Electrocardiogram #S1Q3T3
#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 ... branch block, ST ... pulmonaryembolism #AcutePE
EKG in Acute Pulmonary Embolism
The sensitivity and specificity for EKG findings in acute PE are low.
EKG
EKG in Acute Pulmonary ... evaluating for other causes ... • Non-specific ST-T ... #EKG #Pulmonary ... #Embolism #AcutePE
Hypotension / Shock Differential Diagnosis Algorithm
Hypovolemic:
 • Poor oral intake
 • Hemorrhage
 • Renal loss
 •
valvulopathy • Pulmonary ... embolism • Left ... obstruction • Pulmonary ... pancreatitis • Medication ... Algorithm #shock #causes
Chest Pain - Diagnosis and Workup Algorithm

History and Exam
Acute life-threatening causes:
 • Acute myocardial infarction
 •
History and Exam Acute ... life-threatening causes ... Pneumothorax • Pulmonary ... embolism • Cardiac ... Initial workup: • EKG
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
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High CO / Low SVR ... Failure, Toxins/Medications ... • Obstructive: Pulmonary ... Embolism, Tension ... ) UOP > 0.5 cc/kg
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
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
Causes of ST Segment ... QRS complex Pulmonary ... Embolism: • T-wave ... inferior leads • S1Q3T3 ... voltage Other Causes