48 results
Status Epilepticus - Management
Seizure > 5 mins or two seizures without complete recovery between them
PEDS
Benzo Dose
between them PEDS ... Anti-epileptic #3 ... Infusion - Consider Intubation ... #treatment #algorithm ... #neurology
Massive Hemoptysis - Differential Diagnosis Framework and Management
Definition: 150-600 mL over 24 hours
Differential Diagnosis:
 • Tracheobronchial:
Indications for Intubation ... 2) Bad Lung Down ... Bronchoscopy 2) ... Embolization 3) ... #pulmonary #criticalcare
Treatment of hyperkalemia via kaliuresis 
step 1 = volume resuscitation if hypovolemic
step 2 = consider fludrocortisone
step
hypovolemic step 2 ... fludrocortisone step 3 ... hyperkalemia #kaliuresis #management ... #criticalcare # ... #diuresis #nephrology
Protected Airway Intubation Pre-Brief Checklist - COVID19

1. ROLE ASSIGNMENT
2. PPE: Extended gloves, BLUE gown, N95, face
ROLE ASSIGNMENT 2. ... glove & goggles 3. ... MEDS & EQUIPMENT ... Checklist #COVID19 #CriticalCare ... #Management
Management of Serotonin Syndrome
Identify and stop all serotoninergic medications
 • Avoid inadvertent Rx of serotoninergic meds
serotoninergic meds ... fentanyl, tramadol, etc ... instability: • Intubation ... loading dose, then 2 ... #treatment #toxicology
Emergent Hyperkalemia Treatment Algorithm
ECG changes, weakness, K+ >6.5 Or renal insufficiency with K >5.5 with cellular
Algorithm ECG ... ) ECG changes ... minutes, lasts -2 ... monitor glucose x 3 ... #Algorithm #Management
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
• Obstructive: Pulmonary ... ) MAP > 60-65 2) ... Lactate < 2.0 3) ... Differential #Diagnosis #criticalcare ... #management
Ventilator Troubleshooting Summary
High PIP, nl Pplat:
 - DDx: Tubing problem, Bronchospasm, Secretions
 - Next Steps: Check
DDx: Mainstem intubation ... ↑ IFR, PEEP = 2/ ... 3 auto-PEEP, Bronchodilators ... Troubleshooting #diagnosis #management ... #pulmonary #mechanical
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Cardiogenic Shock - Management ... Consider BiPAP (vS intubation ... hypertension Rx 2 ... hypoperfusion) Rx 3 ... Revascularization, treatment
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Diagnosis and Management ... Readily Reversibles 3) ... Tamponade - Pulmonary ... #Summary #criticalcare ... #treatment #workup