13 results
BiPAP titration in CHF
 - Mean airway pressure provides goodness 
 - Ramp up the ePAP
BiPAP titration in CHF ... Driving pressure supports ... CongestiveHeartFailure #Management ... #CriticalCare # ... Cardiology
Triquetral Fracture
The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
fractures • ED Management ... 1 week MH/CCF ... #Radiology #XRay ... #Diagnosis #Management ... #Orthopedics #Sports
Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
dislocation • ED Management ... 1 week MH/CCF ... #Radiology #XRay ... #Diagnosis #Management ... #Orthopedics #Sports
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
lateral wrist XR ... repair MH/CCF ... #Radiology #XRay ... #Diagnosis #Management ... #Orthopedics #Sports
Scaphoid Fractures
The scaphoid is the most commonly fractured carpal bone. Remember, if a fracture is suspected
dislocation • ED Management ... x-rays MH/CCF ... #Radiology #XRay ... #Diagnosis #Management ... #Orthopedics #Sports
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Shock - Differential ... Decompensated CHF ... Pneumothorax, Cardiac ... #Diagnosis #criticalcare ... algorithm #treatment #management
Extracorporeal Membrane Oxygenation (ECMO) - Basics
Mode of cardiopulmonary support used to treat pulmonary and/or cardiovascular failure
venous system E-CPR ... of VA-ECMO when CPR ... cardiac output ... #ECMO #Basics #management ... #pulmonary #criticalcare
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
→ no signs of CXR ... Consider cardiac ... heartfailure #diagnosis #management ... #cardiology #pharmacology ... #sCHF
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
#diagnosis #differential ... #algorithm #management ... #cardiology #treatment ... #heartfailure #chf ... #criticalcare #
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
: • New cardiac ... nodes • Roth’s spots ... Marantic (NTBE) Differential ... Endocarditis #diagnosis #management ... #cardiology