21 results
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
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 ... : • EKG • Bedside
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
Noninvasive Positive Pressure Ventilation (NIPPV)

Expiratory & Inspiratory Positive Airway Pressure
Both increase intrathoracic pressure, which can decrease
mortality, LOS NIPPV Indications ... exacerbation (cardiogenic pulmonary ... COPD) • Other acute ... status • Won't Work ... NIPPV #CPAP #BPAP #indications
Causes of Peripheral Edema - Differential Diagnosis
Increased Hydrostatic Pressure
 • Volume Expansion: Kidney failure, Pregnancy, Medication
Causes of Peripheral ... Increased Hydrostatic Pressure ... failure, Pregnancy, Medication ... prednisone, NSAIDs), Acute ... Heart failure, Pulmonary
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
High CO / Low SVR ... Failure, Toxins/Medications ... • Obstructive: Pulmonary ... Embolism, Tension ... ) UOP > 0.5 cc/kg
Causes of Secondary Hypertension - Workup and Differential Diagnosis
Approach (when evaluation should be done):
1. Severe or
Hypertension - Workup ... An acute rise or ... disturbance, or acute ... #Hypertension #Workup ... #Diagnosis #indications
Syncope - Differential Diagnosis Algorithm
Neurocardiogenic:
 • Vasovagal
 • Orthostatic Hypotension
 • Autonomic Neuropathy
 • Situational (micturition,
Respiratory: • Pulmonary ... Embolism • Hypoxia ... • Anemia • Medications ... Tachyarrhythmia: • VT ... Diagnosis #Algorithm #causes
SPONT - Spontaneous Breathing = Pressure Support Ventilation Summary
Basic Set Parameters:
  1) Pressure Support (PS)
do some of the work ... means the patient ↑work ... Most common cause ... > 8cc/kg at 6/6 ... #Ventilation #pulmonary
Increased Airway Pressure - Guidelines for Crises in Anaesthesia

Using these steps from start to end should
surgery related cause ... blood gas, 12-lead ECG ... o Circulatory embolus ... o Aspiration, pulmonary ... Diagnosis #Management #Workup