OMFS Board Exam Review #9 - IV Sedation Emergencies, Hypertension, Oxygen Drops & Cardiac Crises

Top 5 Topics:

- Pre-operative cardiac risk assessment in hypertensive patients

- Emergency management of oxygen desaturation during IV sedation

- Hypertensive crisis under sedation — causes and interventions

- Differential diagnosis for chest pain & shortness of breath post-op

- Recognizing and managing perioperative myocardial infarction

*** These are live recordings of my review sessions for the oral OMFS boards that I’ll be taking in January 2025 - I can get answers and concepts wrong! Please comment, DM me, or text me with any corrections, additions, or your own board prep tips on these topics so we can learn from my mistakes. ***

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Questions & Topics:

00:00 – Preoperative Assessment Essentials: Key cardiovascular parameters for IV sedation safety

02:10 – Managing Oxygen Saturation Drops: Immediate airway and reversal strategies

03:41 – Addressing Hypertensive Crises During Sedation: Differentials and emergency meds

06:03 – Differential Diagnosis for Post-Op Chest Pain: MI, PE, pneumothorax, and more

08:11 – Immediate Actions for ST Elevation on ECG: Oxygen, aspirin, nitroglycerin, EMS

09:44 – Factors Contributing to Perioperative Myocardial Infarction: Sedation missteps & prevention

12:16 – Essential Lab Tests for Cardiac Risk Assessment: BMP, CBC, ECG, and when to order more

13:25 – Medication Pitfalls in Sedation: Propofol, fentanyl, ketamine, and hemodynamic effects

15:02 – Family History vs. Real Risk Factors: What truly matters in cardiac screening

16:30 – Preventing Sedation-Related Cardiac Complications: Monitoring, titration, and clearance

Now available on:

- Dr. Gallagher’s Podcast & YouTube Channel

My watch in this episode = Citizen Promaster Diver Day Date

- 8.2025

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