30 results
Rich Levitan teaches the VAPORS pneumonic: a quick run-through of the main issues to sort prior
run-through of the main ... issues to sort ... from Scotland #Management ... #CriticalCare #
Mechanisms of Pain
Mixed - Nociceptive/Neuropathic
Nociceptive - Tissue Damage
 - Visceral - (From organ/cavity lining) Poorly localized,
Mechanisms of Pain ... Well-localized, sharp, short ... well-localized, dull, longer ... Complex regional pain ... Mechanisms #Neurology #Differential
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
dorsally and no longer ... dorsal wrist, pain ... injury • ED Management ... : Pain control, ... #Orthopedics #Sports
COVID-19 Intubation Checklist

Personal protective equipment (PPE)
 • Standard PPE
   • N95 or PAPR.
Stuff • Video ... valve & viral filter ... on exhalation port ... Checklist #SARSCoV2 #Management ... #CriticalCare #
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 #
Maudsley's Test for Lateral Epicondylitis

Maudsley's test assesses for lateral epicondylitis. 
Lateral elbow pain with resisted third
Lateral elbow pain ... resisted third finger ... Video via @open_michigan ... PhysicalExam #clinical #video ... #sports #msk #orthopedics
Guillain-Barre Syndrome - Summary

Acute AIDP that presents with rapidly progressive flaccid weakness

Epidemiology:
 • 1-2 cases/100,000 per
• Weakness: Starts ... Hands or feet • Pain ... death Miller Fisher ... can classify the main ... Syndrome #diagnosis #management
Pain, Agitation, and Delirium (PAD) in the ICU
Addressing the ICU Triad (PAD) can be accomplished through
Pain, Agitation, ... Total scores >2 ... the ICU due to short ... Delirium #PAD #ICU #CriticalCare ... #diagnosis #management
The Shuck Test for Scapholunate Instability

The Shuck test assesses for scapholunate instability. 
With the wrist flexed,
examiner resists finger ... Pain over the dorsum ... Video via @open_michigan ... PhysicalExam #clinical #video ... #sports #msk #orthopedics
Lactic Acidosis - Differential Diagnosis Framework

Type A: Impaired O2 Delivery (DO2)
 • Decreased O2 Delivery: Hypotension
Lactic Acidosis - Differential ... Demand: Stress / Pain ... testing • Seen in Short ... Lactic #Acidosis #Differential ... #Diagnosis #criticalcare