28 results
Pulmonary Embolism - Risk Stratification and Prognostication based on scores and clinical features

 • Bova score
class (30-day all cause ... Transient Hypotension, Shock ... prognostication #diagnosis ... #management #stratification ... #criticalcare #
Shock - Differential Diagnosis by Classification

Hypovolemic (Intravascular volume depletion)
 - Hemorrhagic 
   • Trauma
Diagnosis by Classification ... exacerbation (any cause ... flow) - Massive pulmonary ... Classification #Table ... #CriticalCare
Acute Respiratory Distress Syndrome – ARDS: Clinical Cheat Sheet

An acute diffuse, inflammatory lung injury, leading to
leading to increased pulmonary ... consistent with pulmonary ... the underlying cause ... Summary #CheatSheet #Diagnosis ... #Management #CriticalCare
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Diagnosis Framework ... • Obstructive: Pulmonary ... Treatment Goals ... #criticalcare # ... #management
Streptococcal Toxic Shock Syndrome (STSS)
Complication of invasive GAS disease characterized by shock & MOF → occurs
GAS in 30% of cases ... 50% in nec fasc Diagnostic ... kidneys, liver, lung/ARDS ... necrosis STSS Treatment ... #management #diagnosis
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... Tamponade - Pulmonary ... #Diagnosis #Management ... #Summary #criticalcare ... #treatment #workup
Leptospirosis
Pathogen: Leptospira (interrogans, kirschneri, noguchii)
Risk Factors:
 • Occupational exposure - Farmers, ranchers, trappers, veterinarians
 • Recreational
non-productive cough, nausea ... failure • Severe pulmonary ... disease ARDS Diagnosis ... #microbiology #diagnosis ... #treatment #management
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
Treatment of Stable ... with caution in pulmonary ... Treat underlying cause ... Treat underlying cause ... #management #cardiology
TRALI vs TACO - Transfusion Reactions
TRALI:
 • Epidemiology: 0.1% of transfused patientsl
 • Risk factors: Critical
without other cause ... : 33% • Treatment ... , and CXR with pulmonary ... Reactions #hematology #diagnosis ... #comparison #table
Salicylate Toxicity - Diagnosis and Management

Consider if:
1) Patient is hot and altered
2) You see tachypnea with
Salicylate Toxicity - Diagnosis ... no respiratory cause ... , Diaphoresis, Pulmonary ... edema, Shock Labs ... #management #Treatment