21 results
Noninvasive Positive Pressure Ventilation (NIPPV)

Expiratory & Inspiratory Positive Airway Pressure
Both increase intrathoracic pressure, which can decrease
In CHF, decreases ... and mortality BPAP ... - Bi-Level Positive ... Indications: • CHF ... patients (ie., CHF
Approach to Selecting Respiratory Support:
-The role of noninvasive respiratory support is generally to reduce the patient's
-The choice of BiPAP ... -BiPAP should never ... #CriticalCare #BiPAP ... #BiLevel #HFNC ... RespiratorySupport #Selection #Algorithm
BiPAP Initiation Algorithm
Screen for contraindications:
 • Obtundation (unarousable)
 • Inability to wear a mask (wounds)
 •
BiPAP Initiation ... Algorithm Screen ... Inability to wear a mask ... amzn.to/3rEtbK8 #BiPAP ... #BiLevel #Initiation
Non-Invasive Positive Pressure Ventilation
Indications: 
 • COPD exacerbation (↓ intubation, ↓ mortality), Cardiogenic pulmonary edema (↓
airway / remove mask ... Spontaneous Time (a.k.a BiLevel ... , BiPAP) • AVAPS
Cervical Central Canal and Neural Foraminal Stenosis Grading

Cervical Central Canal Stenosis Grading
 - Normal - No
- Normal - No CSF ... Mild - Partial CSF ... effacement at the nerve level ... effacement at the nerve level ... Diagnosis #Radiology #MSK
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
Treatment of Stable ... pulmonary disease or CHF ... pulmonary disease or CHF ... underlying cause #Stable ... management #cardiology #algorithm
Blood Disorders - Markers and Differential Diagnosis Algorithm 
Acute
 • Myloid (AML) - CD13, CD33, CD34,
Differential Diagnosis Algorithm ... o CML - bcr-able ... o Other bcr-able ... Amy Chung, MD, MSc ... Differential #Diagnosis #Algorithm
Causes of Chronic Dyspnea - Differential Diagnosis Algorithm
Pericardial
 • Effusion
 • Cardiac Tamponade*
 • Constriction
Myocardial
 •
Differential Diagnosis Algorithm ... Artery Disease • Stable ... Interstitium • ILD • CHF ... Differential #Diagnosis #Algorithm
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
and/or digoxin level ... lungs - Consider BiPAP ... #Checklist #CHF
Monteggia Fracture 
Fracture of proximal ulnar shaft with radial head dislocation. Remember “MUGR” to recall where
• If stable ... repair MH/CCF ... Orthopedics #Proximal #MSK