127 results
diagnosis management clinical pocus treatment cardiology differential algorithm criticalcare pharmacology echocardiogram neurology ultrasound causes pulmonary obgyn pathophysiology aortic criteria dissection
Hypothermic Cardiac Arrest Management "Not dead until 32° and dead" 1) Start ACLS + Rewarming 2) Should this code
Warmed O2 (1°/hr ... Irrigation (1°/hr ... Thoracic Lavage (3-6°/hr ... Hemodialysis (3°/hr
Pediatric SVT - Management Algorithm Identify SVT: • HR not variable • Abrupt rate changes • Infants:
Identify SVT: • HR ... changes • Infants: HR ... • Children: HR
Management Algorithm for Status Epilepticus • Assess airway, breathing, and circulation • Pulse oximetry • Electrocardiogram • Finger stick (give
IV at 1-5 mg/kg/hr ... 0.5-3.0-mg/kg/hr ... 0.1-0.4 mg/kg/hr ... IV at 2-5 mg/kg/hr ... then 5-10 mg/kg/hr
POCUS - Measuring Cardiac Output 1) Calculate LVOT Area 2) Calculate LVOT VTI 3) Calculate Cardiac Output SV = (LVOT
x (LVOT VTI) X HR ... SV (mL/cycle) x HR
Potassium Electrolyte Repletion If patient also has hypomagnesemia, replete magnesium before repleting potassium Oral: • Pills (ask pharmacy
give up to 10 mEq/hr ... give up to 20 mEq/hr
Potassium Repletion - Oral vs IV Oral KCl - 40mEq at a time, q2-4 hrs
KCl - 10 mEq/hr ... vein - 20 mEq/hr
General Guidelines for Emergent Exploratory Thoracotomy - Initial thoracostomy tube drainage > 20 mL/Kg -
Output 200 mL/hr ... rate > 7 mL/Kg/hr
Orthostatic Hypotension - Management Algorithm Positive orthostatic vital signs defined as one of the following (within 3
10 mm Hg - ↑ HR ... > 30 bpm • HR
Cushing's Reflex - Pathophysiology HYPERTENSION with a reflex BRADYCARDIA → ↑ ICP → ↓ CBF →
response → ↓ HR
BRASH Syndrome B - Bradycardia R - Renal failure A - AV nodal blockade S - Shock H - Hyperkalemia Typical ECG
ECG in BRASH: HR ... epinephrine (↑HR
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