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American College of Critical Care Medicine algorithm for time-sensitive, goal-directed stepwise management of hemodynamic support in
goal-directed stepwise management ... 2) Subsequent ICU ... #CriticalCare # ... Peds #Pediatrics #Sepsis ... #Management #StepWise
Surviving Sepsis 1-Hour Bundle - Initial Resuscitation for Sepsis and Septic Shock 

#SurvivingSepsis #1Hour #OneHour #Bundle
Surviving Sepsis ... Resuscitation for Sepsis ... and Septic Shock ... Resuscitation #CriticalCare ... #Management
Swan Ganz - Pulmonary Artery Catheter Basics

Nick Mark MD @nickmmark

#PA #SwanGanz #Pulmonary #Artery #Catheter #Basics #Diagnosis
Swan Ganz - Pulmonary ... #PA #SwanGanz #Pulmonary ... Basics #Diagnosis #Management ... #CriticalCare # ... ICU #pressures
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Shock - Differential ... Distributive: Sepsis ... • Obstructive: Pulmonary ... Diagnosis #criticalcare ... algorithm #treatment #management
Shock Classification and Differential Diagnosis
SHOCK
 • MAP <65, SBP <90, drop in SBP > 40
 •
and Differential ... / Low SVR • Sepsis ... , CVP > 12 • Pulmonary ... Classification #Differential ... Diagnosis #Types #criticalcare
Shock - Differential Diagnosis Algorithm
Warm Extremities
 - Distributive Shock - Low JVP
Shock - Differential ... - Distributive Shock ... Low JVP • Sepsis ... Sounds • Pulmonary ... #Hypotension #Differential
Mechanical Ventilation in High Intracranial Pressure (ICP)
- Maintain PEEP < ICP
- Dealing with ICP
- HOB effect
Maintain PEEP < ICP ... - Dealing with ICP ... Post-intubation Management ... #Elevated #management ... #pulmonary #criticalcare
Sepsis - Diagnosis and Management
Life-threatening organ dysfunction caused by a dysregulated host response to infection
SEPTIC SHOCK
infection SEPTIC SHOCK ... Patients w/ septic shock ... likelihood of prolonged ICU ... #QSOFA #SIRS #criticalcare ... #icu
Vasopressors and Inotropes
 • Norepinephrine - Levophed - "Levo" - Generally thought of as the first
pressor added in shock ... common in OR; in MICU ... Angiotensin - "Ang II" - Sepsis ... Vasopressors #Inotropes #management ... #criticalcare #
Hypotension / Shock Differential Diagnosis Algorithm
Hypovolemic:
 • Poor oral intake
 • Hemorrhage
 • Renal loss
 •
Differential Diagnosis ... valvulopathy • Pulmonary ... obstruction • Pulmonary ... Distributive: • Sepsis ... #Hypotension #Differential