3888 results
Modified Valsalva Maneuver Insturctions

- 43% vs 17% response compared to the standard valsalva maneuver

Per ACLS and
stable AVNRT is vagal ... described in the REVERT ... Valsalva #Maneuver #REVERT ... Procedure #SVT #vagal
Cushing's Reflex - Pathophysiology
HYPERTENSION with a reflex BRADYCARDIA
 → ↑ ICP 
 → ↓ CBF
 →
Baroreceptor stim → Vagal
Modified Valsalva Maneuver

43% vs 17% response compared to the standard valsalva maneuver

1) Position patient with legs
for 1 minute 5) Repeat ... REVERT Trial: https ... Clinical #Video #REVERT ... #vagal
LAD Coronary Artery Dissection on POCUS

Severe CP x 1 hour, Ant/Sept STEMI on EKG.  ED
Dissection on POCUS ... Severe CP x 1 ... Focal Ant/Sept severe ... Robert Strony @ ... Artery #Dissection #POCUS
Cranial Nerve X - Vagus Nerve - Cross Sectional Nuclei Anatomy
 • Vagus Nerve
 • Nucleus
• Dorsal Motor Vagal
Secondary Bacterial Peritonitis (SBP) on Abdominal POCUS

Cirrhosis with fever/abd pain-?SBP. POCUS for win.  Secondary bacterial
) on Abdominal POCUS ... Cirrhosis with fever ... POCUS for win. ... Robert Jones @RJonesSonoEM ... SBP #Abdominal #POCUS
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
Rhythm: • Attempt vagal ... convert - Repeat ... monitor - Repeat
LVOTO due to SAM on POCUS Echocardiogram

Septic patient after IV fluids and initiation of Levophed. Worsening
due to SAM on POCUS ... Repeat PSLA. ... Robert Jones @RJonesSonoEM ... LVOTO #SAM #HOCM #POCUS
Vasospastic (Prinzmetal) Angina
Definition / Epidemiology:
 • Rest angina attributed to coronary artery vasospasm.
 • Patients often
• Imbalance of vagal ... cessation • CCBs (prevent
Severe Left Atrial Enlargement on Echocardiogram
Have you ever seen a left atrium this big!?!? 
LA diameter
Severe Left Atrial ... Echocardiogram Have you ever ... #Enlargement #Severe ... Echocardiogram #Clinical #POCUS