69 results
Clinical Management for Three Common Causes of Shock 
HEMORRHAGIC SHOCK
 • Ensure adequate ventilation and oxygenation.
Clinical Management ... when possible (eg ... dysrhythmias (eg ... reverse the insult (eg ... #CriticalCare
Electrical Alternans on POCUS Echocardiogram
You dissect the EKG and note low voltage tachycardia with a hint
Electrical Alternans on POCUS ... You dissect the EKG ... POCUS ECHO performed ... Echocardiogram #clinical ... #effusion #pericardial
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
if suspected (e.g ... block (+/- daily EKG ... of infection (e.g ... Internet Book of Critical ... Endocarditis #checklist #criticalcare
Pancreatitis management checklist 
Evaluation to guide etiology & management 
 - RUQ ultrasound 
 - Calcium
septic shock (e.g ... resuscitation (e.g ... choledolithiasis (e.g ... pain-dose ketamine infusion ... #CriticalCare
Checklist Approach to Hypokalemia

Consider risk factors for arrhythmia:
 - EKG changes (especially QT prolongation)
 - Digoxin
arrhythmia: - EKG ... their validity (e.g ... context & EKG) ... #Hypokalemia #Management ... #CriticalCare
Hypermagnesemia - Etiologies by Mechanism
Renal Failure 
Excessive Mg Administration 
 - Massive PO intake
Excessive IV Mg infusion ... (e.g. eclampsia ... Hypermagnesemia #Differential ... Table #Causes #Management
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Pulmonary Embolism on POCUS ... Triage EKG (no prior ... Differential/diagnosis ... See thread for POCUS ... Echocardiogram #A4c #clinical
Intra-Aortic Balloon Pump (IABP)

Intra-aortic balloon counter-pulsation is a method of invasive hemodynamic support. A catheter is
increases coronary perfusion ... coronary artery perfusion ... • Triggers (EKG ... Pump #diagnosis #management ... #cardiology #criticalcare
In general, we expand antibiotics too soon in cellulitis, as clinical response (e.g. reduction in edema/erythema,
cellulitis, as clinical ... response (e.g. ... source control (e.g ... alternative diagnosis (e.g ... #EBM #ID #Management
Pulmonary Embolism on ECG 

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Pulmonary Embolism on ECG ... Triage EKG (no prior ... See thread for POCUS ... Pulmonary #Embolism #ECG ... #EKG #Electrocardiogram