11 results
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
if suspected (e.g ... block (+/- daily EKG ... of infection (e.g ... #checklist #criticalcare ... #diagnosis #management
Chest Pain - Diagnosis and Workup Algorithm

History and Exam
Acute life-threatening causes:
 • Acute myocardial infarction
 •
Algorithm History ... life-threatening causes ... • Esophageal rupture ... : • EKG • Bedside ... Pain #Diagnosis #Algorithm
My Patient with Infective Endocarditis (IE) Has Negative Blood Cultures
 - Did they receive antibiotics prior
therapy - Number one cause ... of culture negative ... Eg: C. burnetii ... BloodCultures #Diagnosis #Management ... #Algorithm
Massive Hemoptysis - Diagnosis and Management
 • Definitions: 
   - Hemoptysis = bleeding from
respiratory tract (e.g ... has potential to cause ... • Workup • General ... #treatment #workup ... #pulmonary #criticalcare
Algorithm for Management of Acute Exacerbation of COPD (AECOPD)

Obtain workup for alternate diagnoses and relevant comorbidities:
Algorithm for Management ... AECOPD) Obtain workup ... gram stain and culture ... doppler, CTA • ECG ... #COPD #AECOPD #Algorithm
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Culture (+): ... Septic Emboli Cause ... ↑ ESR, CRP • EKG ... Treat underlying cause ... #diagnosis #management
Blood Culture-Negative Infective Endocarditis (BCNIE)
Definition: No etiology found after 3 separate blood cultures remain negative for
Infective Endocarditis ... microbiological techniques Work-up ... but important causes ... special stains (e.g ... #differential #workup
Clinical Management for Three Common Causes of Shock 
HEMORRHAGIC SHOCK
 • Ensure adequate ventilation and oxygenation.
for Three Common Causes ... when possible (eg ... dysrhythmias (eg ... reverse the insult (eg ... #CriticalCare
Approach to Selecting Respiratory Support:
-The role of noninvasive respiratory support is generally to reduce the patient's
the patient's work ... patient's diagnosis (e.g ... #Management #CriticalCare ... RespiratorySupport #Selection #Algorithm
Recurrent Polymorphic VT/Torsades de Pointes - Management Algorithm
Drugs that prolong QT interval:
 • Class 1a (quinidine,
Torsades de Pointes - Management ... Algorithm Drugs ... • Prevents future ... 1b (lidocaine)- case ... #Algorithm