35 results
Bedside Ultrasound as a Substitute for CVP - IVC Diameter and Collapse

- Dr. Eric Strong @DrEricStrong
- IVC Diameter ... Eric Strong @DrEricStrong ... - Strong Medicine ... #Ultrasound #POCUS ... #IVC #CVP #diagnosis
Acute Ischemic Stroke Management

 β€’ Initial Assessment
 β€’ BP/Temp/BG
 β€’ IV Alteplase
 β€’ Tx of ICB
Acute Ischemic Stroke ... BP/Temp/BG β€’ IV ... Acute #Ischemic #Stroke ... #Management #CVA
CVP Estimation using IVC Diameter and Collapsibility 
< 1.5cm IVC, >50% collapsibility = 0-5 mm Hg
CVP Estimation using ... 0-5 mm Hg (Low CVP ... 20 mm Hg (High CVP ... ) #CVP #Estimation ... Collapsibility #diagnosis #POCUS
How do you work up an ischemic CVA?
A) Initial Evaluation
 β€’ ABCs
 β€’ IV access, monitor
up an ischemic CVA ... Evaluation β€’ ABCs β€’ IV ... MRI-confirmed non-lacunar CVA ... #ischemic #CVA ... #stroke #workup
tPA Code Stroke Dosing Chart

Total Dose = 0.9 mg/kg (maximum dose =90 mg)
 - give 10%
tPA Code Stroke ... 10% of dose as IV ... #Dosing #Dose #CVA ... Thrombolytics #Stroke
Proximal aorta transverse view caudal to Figure 3. Note inferior vena cava (ivc), aorta (ao), anterior
inferior vena cava ... (ivc), aorta (ao ... Clinical #Radiology #POCUS
Invasive Candidiasis (IC)

Diagnosis:
Culture:
 β€’ Gold standard, but Slow (~2-3 days), 50% sensitivity
 β€’ Blood Sample
 β€’
Invasive Candidiasis (IC ... Echinocandin (strong ... Funduscopic Exam β€’ CVC ... #Candidiasis #IC
Complex Hydronephrosis on Renal POCUS

Look beyond the RUSH exam - normal echo/flat IVC/no abd FF/no AAA....
Hydronephrosis on Renal POCUS ... normal echo/flat IVC ... Infected stone. ... Hydronephrosis #POCUS
β–Ί
Cervical Artery Dissection (CAD): 

🩸Occurs as a result of the interplay among risk factors, minor trauma,
acute ischemic stroke ... @AHAScience @American_Heart ... #stroke #cad ... cervicalartery #cva
Perform computations online at:
ScyMed.com
6th ED
ICU-card
Β«ICU, Formulas & DrugsΒ»
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
↓

β†’
↑
RV
mL/beat CO/HR Stroke ... Stroke Volume Index ... 0.0144 Ventricular Stroke ... (physiologic) FVC ... >3.0 L FEV1/FVC