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IMCrit
IMCrit

@IM_Crit_

22 تغريدة 2 قراءة Jan 03, 2025
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If - yesterday - you found interesting my recertification journey in Advanced Cardiovascular Life Support (ACLS), please help me read the modules and answer some additional questions
Here it begins (Part 2): x.com
If - yesterday - you found interesting my recertification journey in Advanced Cardiovascular Life Su...
Let's assume that the patient has already being shocked once and remains in V fib / V tach. If you had to give one drug, x.com
Let's assume that the patient has already being shocked once and remains in V fib / V tach. If you h...
what would you give? Giving nothing is not an option...
If you chose epinephrine, you are wrong. It should be amiodarone. But... x.com
If you chose epinephrine, you are wrong. It should be amiodarone. But... https://t.co/JkrczUV5R7
...let's see what the ACLS Gospel (algorithm) dictates:
cpr.heart.org x.com
...let's see what the ACLS Gospel (algorithm) dictates: https://t.co/7dxR4UDCn5 https://t.co/CfoO7o...
2020 Algorithms
cpr.heart.org/en/resuscitati…

2020 Algorithms

Explore the AHA’s CPR and ECC algorithms for adult, pediatric, and neonatal resuscitation. Learn the...
Hmmm...
Shock -> CPR -> Epi -> Shock -> Amiodarone or Lidocaine
Let's go to a case of bradycardia (let's assume it's symptomatic sinus bradycardia and has not responded to 3 mg of atropine)
From these options: x.com
Let's go to a case of bradycardia (let's assume it's symptomatic sinus bradycardia and has not respo...
What would you choose?
Easy: epi. The problem is that the stated dose is wrong; correct dose is 2-10 mcg/min...
Bonus info: it's easy to mix a bag of epi (aka “dirty epi drip”). You inject 1 mg epi into 1 liter of NS creating 1 mcg/ml solution. If you infuse 2x60 (=120) ml/h, you give 2x1 (=2) mcg/min
How would you treat this patient with known coronary artery disease (CAD) who presented with HR 150/min and chest discomfort? x.com
How would you treat this patient with known coronary artery disease (CAD) who presented with HR 150/...
Options:
To he honest, adenosine can be used in regular wide QRS complex tachycardia but, in this 89 yo patient with CAD, I would not be very enthusiastic about it... x.com
To he honest, adenosine can be used in regular wide QRS complex tachycardia but, in this 89 yo patie...
How do you initiate transcutaneous pacing in a symptomatic bradycardic patient? x.com
How do you initiate transcutaneous pacing in a symptomatic bradycardic patient? https://t.co/gpDHYWa...
Options:
I got this wrong too...
It may be a matter of "style" but if the patient is crashing, I start at maximum current and at least 70-80 "beats"/minute, and then I work my way down versus the other way around... x.com
I got this wrong too... It may be a matter of "style" but if the patient is crashing, I start at ma...
If you wonder, this 👇 is not atrial fibrillation... The label was wrong... 🤦‍♂️ x.com
If you wonder, this 👇 is not atrial fibrillation... The label was wrong... 🤦‍♂️ https://t.co/cPNulvU...
How would you classify this patient with 1-mm ST elevations in leads V2 and V3? x.com
How would you classify this patient with 1-mm ST elevations in leads V2 and V3? https://t.co/bkepZeb...
Options:
You probably chose STEMI, but... x.com
You probably chose STEMI, but... https://t.co/kt63nFRWzT
...in the answer to another question, it is clearly stated that the ST elevation in leads V2 and V3 should be 2mm to qualify as STEMI... x.com
...in the answer to another question, it is clearly stated that the ST elevation in leads V2 and V3...
If you a "die-hard" STEMI practitioner, the AHA guidelines further refine the ST elevation-based STEMI criteria according to age and sex:
#sec-7" target="_blank" rel="noopener" onclick="event.stopPropagation()">ahajournals.org x.com
If you a "die-hard" STEMI practitioner, the AHA guidelines further refine the ST elevation-based STE...
Third Universal Definition of Myocardial Infarction | Circulation
ahajournals.org/doi/10.1161/CI…

Third Universal Definition of Myocardial Infarction | Circulation

Biomarker Detection of Myocardial Injury With Ne crosis. . .2023 Clinical Features of Myocardial Isc...
I hope we are making progress. Or maybe not...
#foamed #foamcc #meded #MedTwitter #cpr #acls #medstudent

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