16 results
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Evaluation - EKG ... edema - Large effusion ... Nephrotoxins (e.g ... channel blocker (eg ... #Checklist #CHF
Clinical Management for Three Common Causes of Shock 
HEMORRHAGIC SHOCK
 • Ensure adequate ventilation and oxygenation.
when possible (eg ... dysrhythmias (eg ... pressure (PEEP) for pulmonary ... reverse the insult (eg ... #CriticalCare
Acute and Chronic Causes of Dyspnea - Differential Diagnosis
Pulmonary/Chest Wall:
 • Acute: Trauma, COPD exacerbation, Asthma
Diagnosis Pulmonary ... flare, Pleural effusion ... decompensated CHF ... Neuromuscular disease (eg ... Metabolic acidosis (eg
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Decompensated CHF ... • Obstructive: Pulmonary ... ) UOP > 0.5 cc/kg ... #Diagnosis #criticalcare ... algorithm #treatment #management
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Diagnosis and Management ... Consider IL NS/LR infusion ... telemetry, 12-Lead EKG ... Tamponade - Pulmonary ... #Summary #criticalcare
Pulmonary Renal Syndromes - OnePager Summary
Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
coagulopathy) • CBC w differential ... LVEF, pericardial effusion ... recent DAN) • EMG ... Renal #Syndromes #differential ... #diagnosis #management
Extracorporeal Membrane Oxygenation (ECMO) - Basics
Mode of cardiopulmonary support used to treat pulmonary and/or cardiovascular failure
used to treat pulmonary ... oxygenator • Assess perfusion ... (eg, NIRS, SVO2 ... #ECMO #Basics #management ... #pulmonary #criticalcare
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
with presence of pulmonary ... ECG is vital while ... #algorithm #management ... #heartfailure #chf ... #criticalcare #
Mask Oxygen Delivery Devices

Simple Mask aka Hudson's Mask:
 • Flow 6-10 LPM
 • FiO2 35-50%
Face Tent:
tight-fitting mask (e.g ... recent surgery, etc ... Delivery #Devices #management ... #pulmonary #criticalcare
Differentiation Syndrome in APML
Epidemiology:
 • Incidence: common in APL (2-48% depending on the study)
 • Triggers:
HoTN, edema and effusions ... Imaging: CXR- pulmonary ... initiation • Differential ... sepsis), PE, DAH, CHF ... APML #diagnosis #management