12 results
Multifocal Atrial Tachycardia (MAT)
• At least 3 different P wave morphologies: 
• Rate 100-180
• Irregular 
Etiology
Multifocal Atrial ... Secondary to chronic lung ... disease (COPD) ... • HypoxiaPulmonary ... #EKG #Management
Hypoxemia / Hypoxia - Rapid Response Management Algorithm

Stridor - Upper airway pathology:
 • Anaphylaxis
 • Foreign
Rapid Response Management ... Epiglottitis • Vocal cord ... pneumothorax, COPD ... atelectasis • Lung ... #Diagnosis #Management
Pharmacologic treatment algorithms by Global Initiative for Chronic Obstructive Lung Disease grade. Highlighted boxes and arrows
Chronic Obstructive Lung ... LAMA: long-acting ... ; FEV1: forced expiratory ... #Management #Pulmonary ... #COPD #GOLD2017
Hypoxemic Respiratory Failure - Differential Diagnosis Framework
DECREASED INSPIRED OXYGEN
 • Low PATM Can decrease first part
: Interstitial lung ... direction leads to hypoxemia ... Pneumonia, asthma, COPD ... , atrial or ventricular ... #Failure #hypoxia
Algorithm for Management of Acute Exacerbation of COPD (AECOPD)

Obtain workup for alternate diagnoses and relevant comorbidities:
Exacerbation of COPD ... ventilated • CXR, Lung ... 2 (or complete respiratory ... newly diagnosed COPD ... MatthewHoMD #COPD
ExtraCorporeal Membrane Oxygenation (ECMO) Fundamentals
Definitions:
 • ExtraCorporeal Membrane Oxygenation (ECMO) provides prolonged pulmonary and/or circulatory support
Venous side (right atrium ... VV: Refractory hypoxemia ... /mixed respiratorv ... PE, cardiogenic shock ... Oxygenation #diagnosis #management
Clinical Management for Three Common Causes of Shock 
HEMORRHAGIC SHOCK
 • Ensure adequate ventilation and oxygenation.
Clinical Management ... , traction for long ... , atrial fibrillation ... pressure (PEEP) for pulmonary ... #Shock #Management
Bronchiectasis - Summary

What?
• Bronchiectasis is derived from the Greek words bronckos meaning airway and ectasis meaning
Chronic cough • Hypoxia ... obstruction • COPD ... Physical stigmata of cor ... in the adjacent lung ... of the affected lung
The Zephyr Endobronchial Valve is an endobronchial implant designed to occlude a hyperinflated lobe of the
a reduction in lung ... improvement of lung ... emphysema: forced expiratory ... Completion of pulmonary ... @DharSaty #copd
Perform computations online at:
ScyMed.com
6th ED
ICU-card
«ICU, Formulas & Drugs»
HEMODYNAMIC PATTERNS
Condition
SAP
CVP

PAP PCWP

CO C(a-v)02 PVR

SVR
Hypovolemic shock
↓
↓
↓
↓
↓
↑
↑
↑
Cardiogenic shock
↓
1
↑
1

1
↑

Septic shock
↓
↓
↓
↓
↑
↓
↓
↓
Cardiac Tamponade
.
↑
↑
1
↓

→
↑
RV
ScyMed.com 6th ED ICU-card ... ↑ Cardiogenic shock ... Perfusion Pressure COP ... LCWI 3.4-4.2 kg ... min 400-600 mL Respiratory