41 results
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
- Management Checklist ... edema - Large effusion ... (no B-lines on ultrasound ... #Checklist #CHF ... HeartFailure #Cardiology #Management
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
and Management ... Establish IV/IO Access ... Consider IL NS/LR infusion ... Setup - Ultrasound ... #Diagnosis #Management
Clinical Management for Three Common Causes of Shock 
HEMORRHAGIC SHOCK
 • Ensure adequate ventilation and oxygenation.
Clinical Management ... Common Causes of Shock ... HEMORRHAGIC SHOCK ... CARDIOGENIC SHOCK ... #Shock #Management
Pancreatitis management checklist 
Evaluation to guide etiology & management 
 - RUQ ultrasound 
 - Calcium
checklist Evaluation ... - RUQ ultrasound ... as for septic shock ... pain-dose ketamine infusion ... #Pancreatitis #Checklist
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
DETROIT CARDIOGENIC SHOCK ... ) Cardiogenic Shock ... visualization with use of ultrasound ... #Cardiogenic #Shock ... DCSI #Initiative #Management
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
Endocarditis checklist ... • Myocardial abscess ... • Aggressive management ... Internet Book of Critical ... #Endocarditis #checklist
American College of Critical Care Medicine algorithm for time-sensitive, goal-directed stepwise management of hemodynamic support in
American College of Critical ... goal-directed stepwise management ... to next step if shock ... maintain normal perfusion ... Pediatrics #Sepsis #Management
Cardiac Tamponade - Guidelines for Crises in Anaesthesia
Caused by an accumulation of blood, pus, effusion fluid
of blood, pus, effusion ... pericardiocentesis, re-assess ... Plan definitive management ... Intraoperative #Checklist ... #Diagnosis #Management
Pleural effusion + lung mass + abscess on POCUS

Image from Dr Oscar Diaz.

- Dr. Marco Umaña
Pleural effusion ... + lung mass + abscess ... #lung #mass #abscess ... POCUS #Pulmonary #Clinical ... #Ultrasound
Checklist Approach to Hypokalemia

Consider risk factors for arrhythmia:
 - EKG changes (especially QT prolongation)
 - Digoxin
Checklist Approach ... incongruous with clinical ... NPO, or profound shock ... Care #Checklist ... #Hypokalemia #Management