11 results
Natural history
Aneurysms may progress in size as a result of gradual wall weakening [6], with rupture
increases when AAA ... References: Radiology ... Brewster DC et al ... 37:1106-1117 #Management ... #AAA #AorticAneurysm
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Shock - Management ... edema - Large effusion ... (no B-lines on ultrasound ... NSAlDs, ACE-inhibitors ... #Management
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
DETROIT CARDIOGENIC ... visualization with use of ultrasound ... TIMI III flow in all ... DCSI #Initiative #Management ... #Cardiology
In July 2015 the ACC/AHA proposed and published an algorithm to help stratify cardiac arrest patients
July 2015 the ACC ... /AHA proposed and ... Stratfication #Management ... #Cardiology #CriticalCare
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Diagnosis and Management ... Consider IL NS/LR infusion ... Setup - Ultrasound ... resuscitation • Cardiogenic ... #Summary #criticalcare
Pancreatitis management checklist 
Evaluation to guide etiology & management 
 - RUQ ultrasound 
 - Calcium
Pancreatitis management ... - RUQ ultrasound ... increase the risk of abdominal ... pain-dose ketamine infusion ... #CriticalCare
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
importantly, bedside ultrasound ... is essentially Cardiogenic ... differential #algorithm #management ... #cardiology #treatment ... heartfailure #chf #criticalcare
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
Symptoms: cough, abdominal ... distension, wheeze, abdominal ... bilateral pleural effusions ... Pharmacology: • ACE ... heartfailure #diagnosis #management
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
ASA class If ... one post op Cardiology ... and undergoing AAA ... or upper abdominal ... medical and surgical management
Perhaps quite too often, the knee-jerk reaction to an elevated Troponin is to call our friends
Cardiology cannot ... time for coronary perfusion ... “one size fits all ... echocardiogram #management ... #clinical #criticalcare