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

Stridor - Upper airway pathology:
 • Anaphylaxis
 • Foreign
Extrinsic compression (e.g ... pneumothorax, COPD ... CNS depression (e.g ... Neuromuscular disorders (e.g ... wall compliance (e.g
Algorithm for Management of Acute Exacerbation of COPD (AECOPD)

Obtain workup for alternate diagnoses and relevant comorbidities:
Exacerbation of COPD ... doppler, CTA • ECG ... newly diagnosed COPD ... MatthewHoMD #COPD ... Exacerbation #treatment #pulmonary
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
Hypoxemic Respiratory Failure - Differential Diagnosis Framework
DECREASED INSPIRED OXYGEN
 • Low PATM Can decrease first part
High altitude (eg ... Pneumonia, asthma, COPD ... Intrapulmonary shunting (eg ... intracardiac shunting (eg ... , atrial or ventricular
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
↑ Cardiogenic shock ... Perfusion Pressure COP ... LCWI 3.4-4.2 kg ... physiologic) FVC FEV1 ... Capacity >3.0 L FEV1
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
Adult ACLS - Cardiac Arrest Algorithm - AHA 2020
CPR Quality:
 • Push hard (at least 2
Shock Energy for ... recommendation (eg ... • Hypovolemia, Hypoxia ... , Thrombosis, (pulmonary ... Algorithm #AHA2020 #management
Adult Cardiac Arrest - ACLS Circular Algorithm - AHA 2020
CPR Quality:
 • Push hard (at least
Shock Energy for ... recommendation (eg ... • Hypovolemia, Hypoxia ... , Thrombosis, (pulmonary ... Algorithm #AHA2020 #management