30 results
Pulmonary Arterial Catheterization – Use and Interpretation:
-Pulmonary arterial catheterization (PAC) has never been shown to improve
Pulmonary Arterial ... However, when the diagnosis ... or the type of shock ... (eg, acute valvular ... ) -right atrial
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
flutter, ectopic ... Control rate (e.g ... flutter or MAT ... Control rate (e.g ... management #cardiology #algorithm
Clinical Management for Three Common Causes of Shock 
HEMORRHAGIC SHOCK
 • Ensure adequate ventilation and oxygenation.
when possible (eg ... dysrhythmias (eg ... , atrial fibrillation ... (PEEP) for pulmonary ... #CriticalCare
Diastolic Function Grading - Schematic diastolic filling patterns

I: impaired relaxation, II: moderate diastolic dysfunction (pseudonormal), III:
LV compliance), ECG ... progression, LA: left atrium ... , PASP: pulmonary ... artery systolic pressure ... #Diagnosis #Cardiology
Right Heart Catheterization - Pulmonary Artery Pressures and Calculations
PULMONARY VASCULAR RESISTANCE = (meanPAP-PCWP) / CO
 •
Artery Pressures ... RV dysfunction. e.g ... trial registry ... forward flow. e.g ... artery #catheter #diagnosis
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Diagnosis Framework ... • Obstructive: Pulmonary ... ) UOP > 0.5 cc/kg ... #criticalcare # ... algorithm #treatment
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
INITIATIVE ALGORITHM ... Ischemic Symptoms  EKG ... systolic blood pressure ... Obtain femoral arterial ... #Algorithm #DCSI
Chest Pain - Diagnosis and Workup Algorithm

History and Exam
Acute life-threatening causes:
 • Acute myocardial infarction
 •
Chest Pain - Diagnosis ... and Workup Algorithm ... Pneumothorax • Pulmonary ... Initial workup: • EKG ... , PT. aPTT • Serial
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... telemetry, 12-Lead EKG ... Tamponade - Pulmonary ... #Diagnosis #Management ... #Summary #criticalcare
Hypoxia and Hypoxemia - Overview
Hypoxia - insufficient oxygen delivered to tissues to meet demands
Hypoxemia - low
stagnant hypoxia (e.g ... carrying capacity (e.g ... abnormal hemoglobin (e.g ... cannot use oxygen (e.g ... #differential #diagnosis