23 results
CPAP Troubleshooting Tips
1. Wrong size/style mask → try a different mask, nasal pillows
2. Trouble getting used
CPAP Troubleshooting ... tolerating forced air ... noise → check air ... BrighamChiefs #CPAP ... Troubleshooting #Tips #management
Hepatopulmonary Syndrome - Diagnosis and Management Summary
A defect in arterial oxygenation due to a gas exchange
and Management ... 1) or anatomic shunt ... Arterial blood gas (ABC ... SpO2 > 88% • Management ... #management #treatment
Dizziness - Central and Peripheral Causes - Differential Diagnosis
Central Causes:
 • Cerebrovascular:  vertebrobasilar, TIA, Wallenburg,
- Differential Diagnosis ... contusion • Tumours: CPA ... oticus (Ramsay Hunt ... Amy Chung, MD, MSc ... #Differential #Diagnosis
Oxygen Delivery Devices
1. Flow is a variable describing the movement of a volume of gas over
Room air is 21% ... sealed systems (CPAP ... /BPAP/ventilator ... NRB) • Venturi Mask ... Flow #Comparison #management
Approach to the A-a Gradient
A-a gradient = PAO2 - PaO2
A-a gradient = [FiO2 x (Patm -
(assumes Room Air ... Right to Left Shunt ... - Anatomic Shunt ... Disease and more • Diffusion ... #differential #diagnosis
COVID-19 Phenotypes - Implications for Respiratory Support Management

L Phenotype
 - Low Elastcnce (High Compliance)
 - Low
Respiratory Support Management ... Low Ventilation Perfusion ... Right-to-Left Shunt ... Phenotypes #Variations #Diagnosis ... #Management #SARSCOV2
Non-Invasive Positive Pressure Ventilation
Indications: 
 • COPD exacerbation (↓ intubation, ↓ mortality), Cardiogenic pulmonary edema (↓
airway / remove mask ... Nasal Modes: • CPAP ... #Ventilation #diagnosis ... #management #indications
Evaluation of Electrical Injury in the Emergency Department 

Common Injuries by System:

CNS - Seizure, coma, spinal
ED arrival MSK ... posterior shoulder - AC ... especially with AC ... Electricity #Evaluation #Diagnosis ... #Management #Emergency
Esophageal Variceal Bleeding - Diagnosis and Management Summary
PRE-ENDOSCOPY
Vasoactive agents - Octreotide: 
 • 50mcg bolus →
Variceal Bleeding - Diagnosis ... and Management ... portosystemic shunt ... Variceal #Bleeding #Diagnosis ... #Management #treatment
Type 2 Diabetes - Screening, Diagnosis and Management Algorithm
Lifestyle  Modifications (Diet and Exercise) -> Start
Diabetes - Screening, Diagnosis ... and Management ... PostPrandial Insulin A1c ... Amy Chung, MD, MSc ... Screening #Targets #Management