CONTENTS diagnosis Nomenclature & types of MI Diagnosis DDx of MI EKG findings in MI Anterior OMI Inferior OMI RV OMI (RVMI, including management) Posterior OMI High lateral OMI OMI in LBBB or RV-pacing OMI vs aneurysm Hyperacute T-waves & de Winter pattern Wellens patterns Subendocardial ischemia patterns Risk stratification management General supportive care PCI […]
Search Results for: femoral arterial catheterization
EMCrit 310 – Transvenous Pacemakers
As you might imagine on an EMCrit podcast, there are a ton of logistical details on placing and managing transvenous pacemakers.
How to Place and Secure an IO in a Peds Patient
Tips from someone who knows–A Crit Care Paramedic
Post-MI complications
CONTENTS Approach to the deteriorating post-MI patient Re-infarction Post-MI pericarditis Bleeding & clotting: Retroperitoneal hematoma Left ventricular thrombus Mechanical complications Mitral valve chordae tendinae rupture Ventricular septal defect (VSD) Ventricular free wall rupture Tachyarrhythmia Atrial fibrillation or atrial flutter Ventricular arrhythmias PVCs Nonsustained VT Sustained monomorphic VT Polymorphic VT AIVR (accelerated idioventricular rhythm) Sinus tachycardia […]
Guest Post – Down with STEMI – The OMI Manifesto by Pendell Meyers
Down with STEMI
BRASH syndrome
CONTENTS Rapid Reference 🚀 Pathophysiology Epidemiology Clinical presentation Diagnosis & differential diagnosis Evaluation of the underlying cause Treatment overview Procedures & vascular access Volume management Bradycardia management Hyperkalemia management Advanced reversal agents for CCB/BBl Podcast Questions & discussion Pitfalls if hypovolemic, provide volume resuscitation: Bicarb <22 mM use isotonic bicarbonate. Bicarb >22 mM use lactated Ringers or […]
Hypothermia
CONTENTS Rapid Reference 🚀 Definition & clinical consequences Evaluation Causes of hypothermia Initial investigations Management Rewarming Rewarming pulseless patient Rewarming patient with pulse General resuscitative measures Fluids & electrolytes Rhabdomyolysis & DIC Underlying problems: sepsis, hypothyroidism, adrenal insufficiency Podcast Questions & discussion Pitfalls Approach to hypothermia ✅ lab panel 📖 Fingerstick glucose (STAT). Basic labs […]
Bradycardia
CONTENTS Clinical aspects Rapid Reference 🚀 Bradycardia is dangerous: physiology review Causes of bradycardia Sinus node dysfunction AV block General evaluation for the etiology ECG evaluation & subtypes of bradycardia Heart blocks 1st degree AV block Mobitz I (Wenkebach Block) Mobitz II 2:1 Block 3rd degree AV block Escape rhythms Junctional escape Ventricular escape Sinus […]
Pulmonary vasculitis & diffuse alveolar hemorrhage
CONTENTS Diffuse Alveolar Hemorrhage (DAH) Clinical presentation Radiology Bronchoscopy Causes Evaluation Management ANCA-associated vasculitides Overview of ANCA-associated vasculitides in the ICU Laboratory findings in GPA and MPA Clinical features of granulomatosis with polyangiitis (GPA) Radiology Tracheobronchial involvement Treatment pathway for GPA or MPA Podcast Questions & discussion Pitfalls clinical presentation (1) May present with hemoptysis […]
Septic Shock
CONTENTS Rapid Reference 🚀 Definitions of septic shock Diagnosis & evaluation Clinical Presentations Biomarkers: NLR Procalcitonin & CRP ➡️ Evaluation for the source Sepsis mimics Treatment Vasopressors Source control Fluid Steroid DVT prophylaxis with heparin REFRACTORY SHOCK Methylene blue Resuscitative endpoints MAP Heart rate Urine output Fluid balance Lactate Skin perfusion Interventions of no real […]
Diabetic Ketoacidosis (DKA)
CONTENTS Rapid Reference 🚀 Getting started Evaluating anion gap & ketoacidosis Definition & severity of DKA Evaluating the cause of DKA Core components of DKA resuscitation Fluid administration Electrolyte management Insulin infusion Long-acting, basal insulin Management of severe or refractory ketoacidosis NAGMA management Monitoring & management of DKA recurrence Special situations DKA in a hemodialysis […]
COMM CHECK: On Checklists
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ARDS
CONTENTS Rapid Reference 🚀 Diagnosis of ARDS Definition of ARDS Cardiogenic pulmonary edema vs. ARDS Why is the patient in ARDS? Common causes of ARDS Evaluating the cause of ARDS ARDS pathophysiology: Intrapulmonary shunting Treatment: Basics Treating the cause of ARDS Steroid Conservative fluid strategy Treatment: Non-intubated patient High-flow nasal cannula & CPAP/BiPAP Awake proning […]