39 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 #
Anatomical Differences Between Pediatric and Adult Airways 
Pediatric airway is... 
• Proportionally smaller larynx 
• Narrowest
Epiglottis is longer ... pediatrics due to short ... Differences #Anatomical #CriticalCare
Pre RSI Checklist

I also simplified, clarified, and improved every aspect of the checklist. So here is
a few seconds longer ... #Management #CriticalCare
BiPAP titration in CHF
 - Mean airway pressure provides goodness 
 - Ramp up the ePAP
Driving pressure supports ... CongestiveHeartFailure #Management ... #CriticalCare #
Pulmonary Embolism - Risk Stratification and Prognostication based on scores and clinical features

 • Bova score
Prognostication based on scores ... prognostication #diagnosis #management ... stratification #criticalcare
COVID-19 Hypoxia Management

Indication for endotracheal intubation?
Tolerating supplemental oxygen?
Consider HFNC
Not tolerating HFNC or HFNC is not available?
Consider
COVID-19 Hypoxia Management ... Monitor closely short ... support #COVID19 #management ... #schema #criticalcare
Rich Levitan teaches the VAPORS pneumonic: a quick run-through of the main issues to sort prior
main issues to sort ... from Scotland #Management ... #CriticalCare #
COVID-19 Intubation Checklist

Personal protective equipment (PPE)
 • Standard PPE
   • N95 or PAPR.
valve & viral filter ... on exhalation port ... system & viral filter ... Checklist #SARSCoV2 #Management ... #CriticalCare #
Protected Airway Intubation Pre-Brief Checklist - COVID19

1. ROLE ASSIGNMENT
2. PPE: Extended gloves, BLUE gown, N95, face
BVM with viral filter ... Checklist #COVID19 #CriticalCare ... #Management
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
dorsally and no longer ... injury • ED Management ... XRay #Diagnosis #Management ... #Orthopedics #Sports