17 results
Multifocal Atrial Tachycardia (MAT)
• At least 3 different P wave morphologies: 
• Rate 100-180
• Irregular 
Etiology
disease (COPD) • Hypoxia ... • Pulmonary hypertension ... Tachycardia #MAT #Cardiology ... #Diagnosis #ECG ... #EKG #Management
Hypoxemia / Hypoxia - Rapid Response Management Algorithm

Stridor - Upper airway pathology:
 • Anaphylaxis
 • Foreign
Extrinsic compression (e.g ... CNS depression (e.g ... Neuromuscular disorders (e.g ... wall compliance (e.g ... #Hypoxia #differential
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
endocarditis w/ septic pulmonary ... if suspected (e.g ... block (+/- daily EKG ... of infection (e.g ... Endocarditis #checklist #criticalcare
Proposed Respiratory Support Algorithm in COVID19

The ‘intubate early’ paradigm, where patients who “fail” low flow oxygen
low flow oxygen (e.g ... support #COVID19 #management ... #schema #criticalcare ... #hypoxia #failure ... #algorithm
Acute Respiratory Distress Syndrome – ARDS: Clinical Cheat Sheet

An acute diffuse, inflammatory lung injury, leading to
leading to increased pulmonary ... congestion with hypoxemia ... consistent with pulmonary ... objective assessment“ (e.g ... #CriticalCare
Erythrocytosis - Polycythemia Differential Diagnosis Algorithm

Elevated Hemoglobin:
 • Males: Hb > 16.5 g/dL/HCT ≥ 49%
 •
- Polycythemia Differential ... Diagnosis Algorithm ... : Cardiac/pulmonary ... Paraneoplastic (e.g ... #Diagnosis #Algorithm
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
Control rate (e.g ... with caution in pulmonary ... Control rate (e.g ... Tachycardia #Treatment #management ... #cardiology #algorithm
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
• Obstructive: Pulmonary ... ) UOP > 0.5 cc/kg ... #Diagnosis #criticalcare ... #algorithm #treatment ... #management
Mask Oxygen Delivery Devices

Simple Mask aka Hudson's Mask:
 • Flow 6-10 LPM
 • FiO2 35-50%
Face Tent:
tight-fitting mask (e.g ... sized to provide a different ... Delivery #Devices #management ... #pulmonary #criticalcare
Adult ACLS - Cardiac Arrest Algorithm - AHA 2020
CPR Quality:
 • Push hard (at least 2
Cardiac Arrest Algorithm ... recommendation (eg ... • Hypovolemia, Hypoxia ... , Thrombosis, (pulmonary ... #AHA2020 #management