23 results
ECG changes in Pulmonary Embolism
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Sinus tachycardia 
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Complete or incomplete RBBB 
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ECG changes in Pulmonary ... Embolism - Sinus ... Non-specific ST ... #Embolism #AcutePE ... #EKG #Findings
#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 ... criticalcare #cardiology #ECG
EKG in Acute Pulmonary Embolism
The sensitivity and specificity for EKG findings in acute PE are low.
EKG
EKG in Acute Pulmonary ... Embolism The sensitivity ... • Non-specific ST-T ... #EKG #Pulmonary ... #Embolism #AcutePE
Chest Pain - Diagnosis and Workup Algorithm

History and Exam
Acute life-threatening causes:
 • Acute myocardial infarction
 •
Diagnosis and Workup ... Pneumothorax • Pulmonary ... embolism • Cardiac ... rupture Initial workup ... : • EKG • Bedside
Shock Classification and Differential Diagnosis
SHOCK
 • MAP <65, SBP <90, drop in SBP > 40
 •
High CO / Low SVR ... Failure, Toxins/Medications ... Low CO / High SVR ... , CVP > 12 • Pulmonary ... Embolism, Tension
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 ... @nickmmark #Pulmonary ... #Embolism #Treatment
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
endocarditis w/ septic pulmonary ... if suspected (e.g ... spleen, brain) Indications ... with multiple embolic ... block (+/- daily EKG
Syncope - Differential Diagnosis Algorithm
Neurocardiogenic:
 • Vasovagal
 • Orthostatic Hypotension
 • Autonomic Neuropathy
 • Situational (micturition,
Respiratory: • Pulmonary ... Embolism • Hypoxia ... • Anemia • Medications ... Tachyarrhythmia: • VT
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Prepare • Full Set ... telemetry, 12-Lead EKG ... and Survey 4) Workup ... Tamponade - Pulmonary ... criticalcare #treatment #workup