11 results
Digoxin Toxicity on EKG

Hypo-K with digoxin on board. Recognize this EKG pattern for dig tox! FOAMed

Eric
Digoxin Toxicity on EKG ... Recognize this EKG ... pattern for dig ... FOAMed Eric Abrams ... #cardiology #clinical
Diagnostic approach to the admitted patient with possible COVID-19

Initial evaluation
- Chest X-ray
- Lung ultrasound (thorough "lawn-mower"
diagnostics as clinically ... indicated (e.g. ... echocardiogram, EKG ... iBookCC #COVID19 #algorithm ... #schema #Diagnosis
ECG of a 55-year-old man who presented to the ER with chest pain 
Computer interpretation: “Nonspecific
pattern: 1. ... It’s a classic pattern ... InferoPosterior transmural ischemia ... #Clinical #Cardiology ... #EKG #STEMI #InferoPosterior
General schema for respiratory support in patients with COVID-19
Low flow nasal cannula
 • Typically set at
General schema for ... volumes of ~6 cc/kg ... Internet Book of Critical ... COVID19 #management #schema ... hypoxia #failure #algorithm
In ARDS, we know that the lungs are so diffusely injured that the remaining total area
see heterogenous patterns ... ARDS where 6 ml/kg ... volumes. 6 ml/kg ... management #ards #foamed ... #respiratory #clinical
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
just simply a clinical ... range of possible clinical ... ECG is vital while ... #differential #algorithm ... treatment #table #foamed
Perhaps quite too often, the knee-jerk reaction to an elevated Troponin is to call our friends
This becomes a flawed ... cannot, coronary ischemia ... #diagnosis #algorithm ... echocardiogram #management #clinical ... #criticalcare #foamed
Perhaps quite too often, the knee-jerk reaction to an elevated Troponin is to call our friends
This becomes a flawed ... cannot, coronary ischemia ... management #cardiology #clinica ... l#foamed #algorithm
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
» HEMODYNAMIC PATTERNS ... CI/BVI Blood Flow ... LCWI 3.4-4.2 kg ... FEV1 >4.0 L Forced ... FEV1/FVC = >60% Forced
Possible approach to empiric anticoagulation in COVID-19

Is D-dimer above '"1,000-2,000 ng/ml?
Contraindication to anticoagulation?
Check fibrinogen level and/or
hyper-coagulable pattern ... Hypo-coagulable pattern ... Internet Book of Critical ... COVID19 #management #schema ... #criticalcare #algorithm