38 results
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Pulmonary Embolism ... Triage EKG (no prior ... Differential/diagnosis ... Pulmonary embolism ... #Embolism #POCUS
Pulmonary Embolism on ECG 

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Pulmonary Embolism ... on ECG Mid ... Triage EKG (no prior ... Pulmonary embolism ... #Embolism #ECG
Chest Pain - Diagnosis and Workup Algorithm

History and Exam
Acute life-threatening causes:
 • Acute myocardial infarction
 •
Chest Pain - Diagnosis ... Pneumothorax • Pulmonary ... embolism • Cardiac ... : • EKG • Bedside ... #Chest #Pain #Diagnosis
Hypoxemic Respiratory Failure - Differential Diagnosis Framework
DECREASED INSPIRED OXYGEN
 • Low PATM Can decrease first part
- Differential Diagnosis ... High altitude (eg ... embolus SHUNT ... Intrapulmonary shunting (eg ... intracardiac shunting (eg
Hyperkalemia shortens repolarization; changes in the T wave provide the earliest clues to hyperpotassemia.
 - At
prolonged PR and QT ... sine wave (QRS-T fusion ... #Diagnosis #Hyperkalemia ... #EKG #ECG #Changes ... #Progression #Table
Clinical Management for Three Common Causes of Shock 
HEMORRHAGIC SHOCK
 • Ensure adequate ventilation and oxygenation.
Clinical Management ... when possible (eg ... dysrhythmias (eg ... pressure (PEEP) for pulmonary ... reverse the insult (eg
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
if suspected (e.g ... with multiple embolic ... block (+/- daily EKG ... of infection (e.g ... #criticalcare #diagnosis
Algorithm for Management of Acute Exacerbation of COPD (AECOPD)

Obtain workup for alternate diagnoses and relevant comorbidities:
AECOPD) Obtain workup ... for alternate diagnoses ... doppler, CTA • ECG ... of AECOPD: • Clinical ... Exacerbation #treatment #pulmonary
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... Consider IL NS/LR infusion ... telemetry, 12-Lead EKG ... and Survey 4) Workup ... Tamponade - Pulmonary
Pulmonary Renal Syndromes - OnePager Summary
Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
mononeuritis multiplex WORKUP ... & DIAGNOSIS Labs ... LVEF, pericardial effusion ... recent DAN) • EMG ... #differential #diagnosis