13 results
Diagnostic approach to the admitted patient with possible COVID-19

Initial evaluation
- Chest X-ray
- Lung ultrasound (thorough "lawn-mower"
to the admitted patient ... - CBC with differential ... as clinically indicated ... #algorithm #schema ... #Coronavirus
Possible Approach to Immunosuppression in Severe COVID-19

The diagnosis and treatment of cytokine storm remains unknown and
-19 The diagnosis ... iBookCC #empiric #anticoagulation ... #COVID19 #management ... #schema #criticalcare ... algorithm #SARSCOV2 #Coronavirus
Massive Hemoptysis - Differential Diagnosis Framework and Management
Definition: 150-600 mL over 24 hours
Differential Diagnosis:
 • Tracheobronchial:
Parenchymal: PNA, Abscess ... Primary Vascular: Pulmonary ... Coagulopathy 4) Reverse Anticoagulation ... #Diagnosis #Management ... #pulmonary #criticalcare
Possible approach to empiric anticoagulation in COVID-19

Is D-dimer above '"1,000-2,000 ng/ml?
Contraindication to anticoagulation?
Check fibrinogen level and/or
in COVID-19 ... Internet Book of Critical ... #COVID19 #management ... #schema #criticalcare ... algorithm #SARSCOV2 #Coronavirus
Management of Jehovah's Witness patient in ICU 

Clarify which products may be used 
 - Discuss
Witness patient ... in ICU Clarify ... some pts will accept ... - When anticoagulation ... #ICU #CriticalCare
Causes of COVIDー19 ICU delirium
Restricted Visitation
 • Family Disconnected
 • Sense of Isolation
 • Disorientation
 •
Causes of COVIDー ... of Empathy • Patient-Caregiver ... #causes #differential ... #coronavirus #diagnosis ... #criticalcare
Atrial Fibrillation (A-Fib) Summary

Symptoms:
• Palpitations, light-headedness, dizziness, dyspnea, exercise intolerance, chest pain, near-syncope, syncope.

Why?
Cardiac:
	• Valvular heart
Decompensated HF • New ischemia ... Noncardiac: • Pulmonary ... AF • Younger patient ... Fibrillation #AFib #diagnosis ... #management #cardiology
Pain, Agitation, and Delirium (PAD) in the ICU
Addressing the ICU Triad (PAD) can be accomplished through
critically ill patients ... will vary with clinical ... non-intubated patients ... #CriticalCare # ... diagnosis #management
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
with presence of pulmonary ... #diagnosis #differential ... #algorithm #management ... heartfailure #chf #criticalcare ... #icu #clinical
Peripartum Cardiomyopathy - Summary
1. Definition
 • Towards the end of pregnancy to 5 months postpartum
Differential Diagnosis ... cardiomyopathy • Pulmonary ... Avoid ARBs • ICD ... suggest prophylactic anticoagulation ... clinically deteriorating