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CT angiography chest showing #pulmonaryinfarction due to acute #pulmonaryembolism. #Hamptonhump was viewed on CXR (https://GrepMed.com/images/5576). #photo
#Hamptonhump was ... EmergencyMedicine #CriticalCare ... Radiology #Cardiology #HamptonHump
#knucklesign #pericarditis #aVR #PRelevationaVR
#knucklesign #pericarditis ... #aVR #PRelevationaVR
Acute Pulmonary Embolism:

"D" sign:
In a physiologically normal heart, LV pressure > RV pressure. When viewing heart
FleischnerSign #Hamptonhump ... Westermarksign #knucklesign
Simplified Vasopressors and Inotropes Comparison Chart
MAP = CO x SVR
Dobutamine - Norepinephrine - Epinephrine - Phenylephrine
Chart MAP = CO x SVR ... comparison #table #criticalcare
Pressors and Inotropes

Norepinephrine
 • alpha1 > beta 1
 • Increase SVR > Inotropy
Vasopressin
 • V1
 •
1 • Increase SVR ... V1 • Increase SVR ... 1 • Increase SVR ... Inotropy, Decrease SVR ... Pressors #Inotropes #criticalcare
Vasopressors and Inotropes - Comparison Table
Activity: Alpha-1, Beta-1, Dopamine, SVR, HR, CO, BP
Phenylephrine
Vasopressin
Norepinephrine
Epinephrine
Dopamine
Dobutamine
Isoproterenol
Milrinone

- Dr. Eric Strong
Beta-1, Dopamine, SVR ... #pharmacology #criticalcare
Shock Classification and Differential Diagnosis
SHOCK
 • MAP <65, SBP <90, drop in SBP > 40
 •
High CO / Low SVR ... Low CO / High SVR ... Low CO / High SVR ... Low CO / High SVR ... Diagnosis #Types #criticalcare
Shock - Differential Diagnosis Framework
MAP = CO x SVR
Hypovolemic (↓ Intravascular volume):
 • Hemorrhage, dehydration due
Framework MAP = CO x SVR ... arrhythmia • ↓ CO, ↑ SVR ... PAH • ↓ CO, ↑ SVR ... toxins • ↑ CO, ↓ SVR ... table #comparison #criticalcare
Confirmation that central line is placed on the venous side by visualizing echogenic air bubbles in
visualizing echogenic air ... POCUS #Clinical #criticalcare
Chest Tube Drainage System - Chambers and Functionality
Clamp: simulates NO chest tube in at all
Chamber 1:
drainage of the fluid/air ... draw the fluid/air ... Chambers #diagnosis #criticalcare