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diagnosis management anesthesia anesthesiology workup differential intraoperative criticalcare algorithm cardiology causes intubation cardiacarrest acls adult aha2020 coronavirus covid19 hypoxemia lifesupport
Hypoxemia / Hypoxia - Rapid Response Management Algorithm Stridor - Upper airway pathology: • Anaphylaxis • Foreign
Stridor - Upper airway ... Extrinsic compression (e.g ... CNS depression (e.g ... Neuromuscular disorders (e.g ... wall compliance (e.g
Multifocal Atrial Tachycardia (MAT) • At least 3 different P wave morphologies: • Rate 100-180 • Irregular Etiology
disease (COPD) • Hypoxia ... • Pulmonary hypertension ... Cardiology #Diagnosis #ECG ... #EKG #Management
Hypoxia and Hypoxemia - Overview Hypoxia - insufficient oxygen delivered to tissues to meet demands Hypoxemia - low
(e.g low cardiac ... carrying capacity (e.g ... abnormal hemoglobin (e.g ... cannot use oxygen (e.g ... #pulmonary #differential
Endocarditis checklist Initial evaluation • Peripheral blood cultures (three sets at three different sites) • Additional culture
Endocarditis checklist ... endocarditis w/ septic pulmonary ... if suspected (e.g ... block (+/- daily EKG ... of infection (e.g
Severe Heart Failure & Cardiogenic Shock - Management Checklist Evaluation - EKG & echocardiography
Shock - Management Checklist ... Evaluation - EKG ... Nephrotoxins (e.g ... channel blocker (eg ... cardiogenic shock #Checklist
Differential Diagnosis of Wheezing • Extrathoracic (wheezing Is typically inspiratory): Anaphylaxis, Vocal cord pathology, Laryngeal stenosis,
Intrathoracic, upper airway ... Intrathoracic, lower airway ... Parasitic infection (e.g ... Diagnosis #Causes #pulmonary
Venn Diagram - Does this patient have pneumonia? Diagnosis is generally based on three lines of evidence:
chest infiltrate (e.g ... Inflammation (e.g ... procalcitonin) - Pulmonary ... symptoms (e.g., ... signs (tachypnea, hypoxemia
Airway Intubation Checklist GATHER/TEST EQUIPMENT: NC, BVM + PEEP Valve, Free flowing IV, EKG, SpO2 monitor, ETT
Airway Intubation ... Checklist GATHER ... Free flowing IV, EKG ... for difficult airway ... #intubation #checklist
Hypoxemic Respiratory Failure - Differential Diagnosis Framework DECREASED INSPIRED OXYGEN • Low PATM Can decrease first part
High altitude (eg ... direction leads to hypoxemia ... Intrapulmonary shunting (eg ... intracardiac shunting (eg ... Respiratory #Failure #hypoxia
COVID-19 Patient Intubation Checklist and Supplies Intubation Equipment List • Appropriately sized tracheal tube with subglottic suction
Patient Intubation Checklist ... Emergency drugs e.g ... and equipment e.g ... Altemative suprglottic airways ... front of neck airway
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