11 results
Multifocal Atrial Tachycardia (MAT)
• At least 3 different P wave morphologies: 
• Rate 100-180
• Irregular 
Etiology
Multifocal Atrial ... lung disease (COPD ... ) • Hypoxia ... • Pulmonary hypertension ... #EKG #Management
Hypoxemia / Hypoxia - Rapid Response Management Algorithm

Stridor - Upper airway pathology:
 • Anaphylaxis
 • Foreign
Rapid Response Management ... pneumonia • Water: pulmonary ... pneumothorax, COPD ... Matthew Ho, MD PhD ... #Diagnosis #Management
A Non-Invasive approach to Respiratory Failure
 • COPD and Ventilatory Failure → NiPPV with Bi-level Settings
Respiratory Failure • COPD ... Bi-level Settings • CHF ... / Pulmonary Edema ... Respiratory #Failure #management ... #hypoxia #NIV
Algorithm for Management of Acute Exacerbation of COPD (AECOPD)

Obtain workup for alternate diagnoses and relevant comorbidities:
Exacerbation of COPD ... newly diagnosed COPD ... Matthew Ho, MD PhD ... MatthewHoMD #COPD ... Exacerbation #treatment #pulmonary
Hypoxemic Respiratory Failure - Differential Diagnosis Framework
DECREASED INSPIRED OXYGEN
 • Low PATM Can decrease first part
direction leads to hypoxemia ... Pneumonia, asthma, COPD ... , pulmonary AVMs ... , atrial or ventricular ... Respiratory #Failure #hypoxia
Perform computations online at:
ScyMed.com
6th ED
ICU-card
«ICU, Formulas & Drugs»
HEMODYNAMIC PATTERNS
Condition
SAP
CVP

PAP PCWP

CO C(a-v)02 PVR

SVR
Hypovolemic shock
↓
↓
↓
↓
↓
↑
↑
↑
Cardiogenic shock
↓
1
↑
1

1
↑

Septic shock
↓
↓
↓
↓
↑
↓
↓
↓
Cardiac Tamponade
.
↑
↑
1
↓

→
↑
RV
→ ↓ → →↑ Pulmonary ... Perfusion Pressure COP ... LCWI 3.4-4.2 kg ... physiologic) FVC FEV1 ... Capacity >3.0 L FEV1
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Medications, Spinal Cord ... Decompensated CHF ... • Obstructive: Pulmonary ... > 0.5 cc/kg/hr ... algorithm #treatment #management
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
state of tissue hypoxia ... oliguria (< 0.5 mL/kg ... Ext: warm vs. cold ... anaphylaxis, toxins/meds ... Classification #diagnosis #management
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
state of tissue hypoxia ... oliguria (< 0.5 mL/kg ... Ext: warm vs. cold ... anaphylaxis, toxins/meds ... Classification #diagnosis #management
The Zephyr Endobronchial Valve is an endobronchial implant designed to occlude a hyperinflated lobe of the
volume in 1 second (FEV1 ... mass index ≤ 31 kg ... for men, ≤ 32 kg ... Completion of pulmonary ... @DharSaty #copd