17 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 ... #Tachycardia #MAT
Shock Classification
Shock Definition: State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
cellular and tissue hypoxia ... brain or spinal cord ... CARDIOGENIC (Cold ... Types #diagnosis #management ... #cold #warm #wet
Shock Types - Classification
State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
cellular and tissue hypoxia ... tachycardia, dyspnea, cold ... brain or spinal cord ... ring OBSTRUCTIVE (Cold ... types #diagnosis #management
Hypoxemic Respiratory Failure - Differential Diagnosis Framework
DECREASED INSPIRED OXYGEN
 • Low PATM Can decrease first part
PATM 760 mm Hg at ... direction leads to hypoxemia ... Pneumonia, asthma, COPD ... shunting (eg, atrial ... #hypoxia #Differential
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Shock - Differential ... Insufficiency, Liver Failure ... Medications, Spinal Cord ... • Obstructive: Pulmonary ... algorithm #treatment #management
Pulmonary Hypertension Groups - WHO Classification
Group I - Vascular remodeling of pulmonary arteries
 • Idiopathic, HIV,
• Left heart failure ... III - Chronic lung ... disease causing hypoxemia ... • COPD, ILD, ... chronic renal failure
ExtraCorporeal Membrane Oxygenation (ECMO) Fundamentals
Definitions:
 • ExtraCorporeal Membrane Oxygenation (ECMO) provides prolonged pulmonary and/or circulatory support
provides prolonged pulmonary ... VV: Refractory hypoxemia ... mixed respiratorv failure ... PE, cardiogenic shock ... Oxygenation #diagnosis #management
Orthopedic Emergencies
Compartment Syndrome
 • An increase in compartment pressure to the point where tissue perfusion is
• Initial Management ... outflow and reduces arterial ... globules in the lung ... loss of spinal cord ... level of spinal cord
When a rib fracture heals, the callus formation may create a mass-like appearance (blue arrow).
Sometimes a
formation may create ... fracture from a lung ... Notice the large lung ... arterial hypertension ... a patient with COPD
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis

The most common causes of hyperlactatemia are usually:
usually: - hypoxemia ... e.g., uptake by cells ... ischemia, surgery may ... output - Acute pulmonary ... ’s • Reduced Arterial