25 results
Multifocal Atrial Tachycardia (MAT)
• At least 3 different P wave morphologies: 
• Rate 100-180
• Irregular 
Etiology
disease (COPD) • Hypoxia ... • Pulmonary hypertension ... Management ... • Oxygen • Treatment ... #EKG #Management
Hyperacute Hypoxemia - Workup and Management
Differential Diagnosis: Aspiration, Flash Pulmonary Edema, Mucous Plugging, Bronchospasm, Pulmonary Embolism,
- Workup and Management ... Aspiration, Flash Pulmonary ... Bronchospasm, Pulmonary ... #diagnosis #Management ... #treatment #criticalcare
Proposed Respiratory Support Algorithm in COVID19

The ‘intubate early’ paradigm, where patients who “fail” low flow oxygen
low flow oxygen (e.g ... us believe that intubation ... support #COVID19 #management ... #schema #criticalcare ... #hypoxia #failure
Weaning from the Ventilator - Algorithm
Setting up for extubation success
 • Decrease demand — correct metabolic
Setting up for extubation ... , overfeeding, etc ... long lasting pain meds ... #CriticalCare # ... Management
Management of Serotonin Syndrome
Identify and stop all serotoninergic medications
 • Avoid inadvertent Rx of serotoninergic meds
Management of Serotonin ... serotoninergic meds ... fentanyl, tramadol, etc ... instability: • Intubation ... #treatment #toxicology
Ventilator Troubleshooting Summary
High PIP, nl Pplat:
 - DDx: Tubing problem, Bronchospasm, Secretions
 - Next Steps: Check
DDx: Mainstem intubation ... Bowel reg, Para, etc ... Bronchodilators/Steroids Hypoxemia ... Troubleshooting #diagnosis #management ... #pulmonary #mechanical
Massive Hemoptysis - Diagnosis and Management
 • Definitions: 
   - Hemoptysis = bleeding from
Diagnosis and Management ... respiratory tract (e.g ... • Airway Management ... #treatment #workup ... #pulmonary #criticalcare
Acute Respiratory Distress Syndrome – ARDS: Clinical Cheat Sheet

An acute diffuse, inflammatory lung injury, leading to
leading to increased pulmonary ... congestion with hypoxemia ... consistent with pulmonary ... objective assessment“ (e.g ... #CriticalCare
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Cardiogenic Shock - Management ... Evaluation - EKG ... Consider BiPAP (vS intubation ... Revascularization, treatment ... HeartFailure #Cardiology #Management
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia
If prolonged or ≥ 39 C this is a
Treatment depends ... • Excessive insulation ... Sepsis (→ 3-14) e.g ... Intracranial blood • Hypoxic ... Checklist #Diagnosis #Management