11 results
Causes of Acute Dyspnea - Differential Diagnosis Algorithm
Cardiovascular
 • Myocardial Infarction*
 • Cardiac Tamponade*
 • CHF
Pleural
Causes of Acute ... Tamponade* • CHF ... Vascular • Pulmonary ... (Wheeze) • Asthma ... AECOPD Upper Airway
Hypoxemia / Hypoxia - Rapid Response Management Algorithm

Stridor - Upper airway pathology:
 • Anaphylaxis
 • Foreign
Rapid Response Management ... Stridor - Upper airway ... Movement - Lower airway ... pneumothorax, COPD/asthma ... Matthew Ho, MD PhD
Causes of Chronic Dyspnea - Differential Diagnosis Algorithm
Pericardial
 • Effusion
 • Cardiac Tamponade*
 • Constriction
Myocardial
 •
Stable Angina • Acute ... Tachyarrhythmia Airway ... Obstruction • Asthma ... Interstitium • ILD • CHF ... Vessels • Pulmonary
Noninvasive Positive Pressure Ventilation (NIPPV)

Expiratory & Inspiratory Positive Airway Pressure
Both increase intrathoracic pressure, which can decrease
exacerbation (cardiogenic pulmonary ... exacerbation (often w/ acute ... COPD) • Other acute ... failure (ie.. asthma ... #criticalcare #management
Auto-PEEP 
What is Auto-PEEP?
 • Progressive air trapping & dynamic hyperinflation → ↑Palv at end expiration
to expiratory airway ... resistance (e.g. asthma ... ventilation • In acute ... AutoPEEP #PEEP #pulmonary ... #diagnosis #management
Chest Pain Diagnosis and Management Algorithm
STEMI:
 - Hx: Pressure like CP, Radiation to arm/jaw, CAD risk
Diagnosis and Management ... Radiation to arm/jaw, CAD ... Limb ischemia Pulmonary ... Pneumothorax: - Hx: Acute ... Dyspnea, H/O COPD, asthma
Patients with CHD are exceptionally sensitive to the effects of bronchiolitis on their volume status
Four principles
Patients with CHD ... heart to improve pulmonary ... directs blood flow away ... #Management #Peds ... #Pediatrics #CHD
Atrial Fibrillation RVR - Medications
Diltiazem
 • Preferred in patients with chronic lung such as Asthma and
chronic lung such as Asthma ... exercise, after acute ... digoxin added anyway ... to improve CHF ... #Medications #management
Approach to Tracheostomy Emergencies - OnePager Summary
COMPONENTS OF A TRACHEOSTOMY TUBE:
 • Obturator - inserted into
Pilot balloon ... Insert finger into stoma ... Surgical management ... #differential #management ... #pulmonary #criticalcare
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
of a difficult airway ... murmur 3/6) - Pulmonary ... - Oral cavity/Airway ... disease b) CHF ... medical and surgical management