12 results
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Triage EKG (no prior ... with dilated RV, McConnell's ... Echocardiogram #A4c ... #clinical #cardiology ... #McConnells #sign
McConnell's Sign on POCUS Echocardiogram (A4C)

A4c view; RV enlargement & hypokinesis with apical sparing ("McConnell Sign"
on POCUS Echocardiogram ... concerning for Pulmonary ... #Sign #POCUS #Echocardiogram ... #A4C #clinical ... #ultrasound #cardiology
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
endocarditis w/ septic pulmonary ... if suspected (e.g ... block (+/- daily EKG ... of infection (e.g ... #criticalcare #
Checklist Approach to Hypokalemia

Consider risk factors for arrhythmia:
 - EKG changes (especially QT prolongation)
 - Digoxin
Checklist Approach ... arrhythmia: - EKG ... their validity (e.g ... context & EKG) ... Hypokalemia #Management #CriticalCare
In order to get good visualization of the RV, Intravenous Definity (brand name echo contrast material)
is the cardiac ultrasound ... described for Pulmonary ... #Clinical #POCUS ... Echocardiogram #Definity #A4C ... #McConnells #Sign
Myasthenic Crisis Checklist - Myasthenia Gravis

Evaluation 
 - Chest X-ray and lung ultrasound (exclude other lung
Myasthenic Crisis Checklist ... X-ray and lung ultrasound ... oral secretions (e.g ... (vital signs, clinical ... #Management #CriticalCare
Admitting in the ICU - Checklist
VITALS: If bad, stop and go see the patient immediately; you
Admitting in the ICU - Checklist ... hyponatremia, AKI, etc ... will also get an EKG ... #ICU #Pearls #Checklist ... diagnosis #workup #criticalcare
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
just simply a clinical ... importantly, bedside ultrasound ... with presence of pulmonary ... ECG is vital while ... heartfailure #chf #criticalcare
Severe Influenza Checklist

Diagnostic tests 
 - Blood cultures x2 
 - Sputum gram stain & culture
function tests - Ultrasound ... diagnostic uncertainty (e.g ... other indication (e.g ... lab-confirmed influenza, pulmonary ... #Management #CriticalCare
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis

The most common causes of hyperlactatemia are usually:
by excretion (e.g ... its metabolism (e.g ... hypoxemia/Sepsis etc ... / hypoxemia -> focus ... output - Acute pulmonary