19 results
COVID-19 Hypoxia Management

Indication for endotracheal intubation?
Tolerating supplemental oxygen?
Consider HFNC
Not tolerating HFNC or HFNC is not available?
Consider
COVID-19 Hypoxia ... CONSIDER: a trial ... management #schema #criticalcare ... #hypoxia #failure ... #algorithm #survivingsepsis
Proposed Respiratory Support Algorithm in COVID19

The ‘intubate early’ paradigm, where patients who “fail” low flow oxygen
Respiratory Support Algorithm ... Also, a low threshold ... management #schema #criticalcare ... #hypoxia #failure ... #algorithm
Diagnostic approach to the admitted patient with possible COVID-19

Initial evaluation
- Chest X-ray
- Lung ultrasound (thorough "lawn-mower"
with possible COVID ... look for focal a-lines ... - CBC with differential ... diagnostics as clinically ... #algorithm #schema
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Shock - Differential ... Insufficiency, Liver Failure ... • Obstructive: Pulmonary ... #Diagnosis #criticalcare ... #algorithm #treatment
General schema for respiratory support in patients with COVID-19
Low flow nasal cannula
 • Typically set at
patients with COVID ... • Proning is a ... management #schema #criticalcare ... #hypoxia #failure ... #algorithm
Shock Types - Classification
State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
utilization, or a ... multisystem organ failure ... vascular → RV failure ... diagnosis #management #criticalcare ... #differential
ARDS/VALI progression over the course of 1 week 
 (a) Day 1 - No pathological findings.
course of 1 week (a) ... ) Day 2 - some pulmonary ... structures help in the differential ... oedema due to heart failure ... #Clinical #Radiology
Approach to Possible Hypertensive Emergency

criteria required to diagnose hypertensive emergency
(1) Severe hypertension
 - Usually a MAP
needed to cause a ... - Pulmonary edema ... chronic renal failure ... Emergency #Diagnosis #Algorithm ... #CriticalCare #
Clinical Classification of Pulmonary Hypertension

1. Pulmonary arterial hypertension from pulmonary vasculopathy
Idiopathic pulmonary arterial hypertension
Heritable gene mutations
Clinical Classification ... Pulmonary arterial ... ALKI (activin A ... chronic renal failure ... Classification #Diagnosis #Differential
Approach to Undifferentiated Shock - OnePager Summary
Shock occurs when there is inadequate blood flow (CO) &
(PE, PHTN), LV Failure ... Cardiac Tamponade, Pulmonary ... Obstruction (HOCM, critical ... Shock #diagnosis #differential ... guyton #curves #criticalcare