13 results
The rationale for aggressive treatment of generalized status epilepticus was described previously here.  In short,
In short, best outcomes ... The longer the seizure ... Management #Neurology #CriticalCare ... Refractory #Seizures #Algorithm
COVID-19 Intubation Checklist

Personal protective equipment (PPE)
 • Standard PPE
   • N95 or PAPR.
dose paralytic (e.g ... at least 1.2 mg/kg ... valve & viral filter ... on exhalation port ... SARSCoV2 #Management #CriticalCare
Cardiac Event Monitoring Devices - Compared
Ambulatory ECG (Hotter):
 • Advantages: Continuous recording, records asx events, all
Compared Ambulatory ECG ... events, all (most) ECG ... Disadvantages: Short ... • Advantages: Longer ... Devices #Comparison #cardiology
Approach to ECGs
Check
 - Age, gender, name
 - 25mm/s; 10mm/mV
 - 1mm = 40ms; 0.1 mV
Rate
safe #, but >500 DANGER ... - Short QT <300 ... #Approach #ECG ... #EKG #diagnosis ... electrocardiogram #cardiology
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
= Biomarkers + ECG ... asymmetrical, similar or bigger ... deWinter T waves - starts ... #EKG #diagnosis ... electrocardiogram #cardiology
General schema for respiratory support in patients with COVID-19
Low flow nasal cannula
 • Typically set at
cm) • Viral filter ... volumes of ~6 cc/kg ... management #schema #criticalcare ... hypoxia #failure #algorithm
Short axis of this echo is mesmerizing: Malignant effusion in a young pt. Notice subtle electrical
Short axis of this ... alternans on the ECG ... Echocardiogram #PSAX ... ElectricalAlternans #Cardiology
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
to be in ADHF starts ... ECG is vital while ... #differential #algorithm ... #management #cardiology ... heartfailure #chf #criticalcare
Point of Care Ultrasound - Probe Movements
SWEEPING:
Here we slide the probe along a slug trail of
into view, we can fine-tune ... the view from short ... is obtaining a SAX ... COMPRESSION: E.g
Double Valve Sign - Type A Aortic Dissection on POCUS Echocardiogram

STEMI on EKG: check the echo!
Echocardiogram STEMI on EKG ... Can you spot the ... Echocardiogram #cardiology ... #clinical #plax