Algorithms in treating cardiac emergencies

[Haisook]

After reading Kaplan notes and doing UW, I wrote simple algorithms for treating some cardiac emergencies, collected from my notes. I think such questions are high-yield in the CK exam, and you need to memorize what to do because it can get very confusing if you don't. The algorithms are written in a stepwise approach, with the 1st suggested management, followed by the 2nd, and so on.


Click image to enlarge

There a few pieces in the algorithms that I'm not sure of its accuracy (typed in red). I hope you take a look and try to snipe any mistake, so that I would correct it and re-upload the image.

Thank you.

[cerebrum85]

Originally Posted by Haisook

After reading Kaplan notes and doing UW, I wrote simple algorithms for treating some cardiac emergencies, collected from my notes. I think such questions are high-yield in the CK exam, and you need to memorize what to do because it can get very confusing if you don't. The algorithms are written in a stepwise approach, with the 1st suggested management, followed by the 2nd, and so on.

Attachment 1087
Click image to enlarge

There a few pieces in the algorithms that I'm not sure of its accuracy (typed in red). I hope you take a look and try to snipe any mistake, so that I would correct it and re-upload the image.

Thank you.

Well done man
that is a great efffort..
but i would add some comments:

• signs of instability include also..... chest pain, dyspnea of ht failure , delerium dt the cardiac ds and i read about SBP.......TO BE < 90......???

• about AF, AFlutter.... 1st consider stability....

that is if ...unstable -->CV
...stable --> then 2 consider heart rate
IF >100 --> 1st rate control via (B.B ,ccB or Digoxin)
<100 -->consider time (acute or chronic) as u mentioned

• about PEA ...(i am not sure of my understanding) but i think whatever the underlying condition---> START CPR ...??

.................................................. ................
Plz any one can check add or correct s.thing ..we ll be thxful

[cerebrum85]

http://manuelsweb.com/images/acls/acls_comp.gif

[Haisook]

Originally Posted by cerebrum85

Well done man
that is a great efffort..
but i would add some comments:

• signs of instability include also..... chest pain, dyspnea of ht failure , delerium dt the cardiac ds and i read about SBP.......TO BE < 90......??? - Added that. I think <100 is one of the criteria of instability.
  

• about AF, AFlutter.... 1st consider stability.... - it's mentioned just under the tachycardia title; if patient is unstable, we should proceed to cardioversion.

that is if ...unstable -->CV
...stable --> then 2 consider heart rate
IF >100 --> 1st rate control via (B.B ,ccB or Digoxin)
<100 -->consider time (acute or chronic) as u mentioned

• about PEA ...(i am not sure of my understanding) but i think whatever the underlying condition---> START CPR ...?? - you're right, this is true until EKG is connected and the cause of arrhythmia is diagnosed (I've added this), then we would continue CPR in a SV arr., and proceed to defibrillation in a ventr. arr.

.................................................. ................
Plz any one can check add or correct s.thing ..we ll be thxful

Thanks for your input cerebrum - My reply is in blue above.
I've updated the figure. Still points I'm not sure of in the figure are in red.

[myaD]

Thank you! This is wonderful. Glad you put it up