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COVID-19 - A Seattle Intensivist's One-Page Cheat-Sheet on COVID-19 v2.7 Updated March 26 2020

(v2.7) incorporating newer
in the ICU, now ... as data on new treatment ... symptoms Imaging • CXR ... #Coronavirus #CriticalCare ... : Marino's The ICU
Navigating a Rapid Response Team (RRT)

Assert Leadership:
 • Stand at foot of bed
 • Introduce yourself
CXR Repeatedly ... Orders placed, treatments ... remain on floor vs ICU ... RRT #Management #treatment ... #criticalcare
Pulmonary Embolism Treatment
Systemic Thrombolysis
 - Exclude contraindications.
 - Indications:
   - Massive PE (definite indication)
Pulmonary Embolism ... Treatment Systemic ... - 2% risk of ICH ... #Embolism #Treatment ... AcutePE #Management #CriticalCare
Differentiation Syndrome in APML
Epidemiology:
 • Incidence: common in APL (2-48% depending on the study)
 • Triggers:
5 or elevated Cr ... common • Imaging: CXR ... - pulmonary opacities ... initiation • Differential ... organ dysfuxtion, ICU
Hyperacute Hypoxemia - Workup and Management
Differential Diagnosis: Aspiration, Flash Pulmonary Edema, Mucous Plugging, Bronchospasm, Pulmonary Embolism,
and Management Differential ... Bronchospasm, Pulmonary ... Troponin), ABG, STAT CXR ... diagnosis #Management #treatment ... #criticalcare
COVID-19 - Subpleural Consolidations on Lung POCUS

Doing daily POCUS LUS for ICU COVID-19 patients in Singapore
COVID-19 - Subpleural ... POCUS LUS for ICU ... COVID-19 patients ... valuable PPEs, reduce CXRs ... lung #ultrasound #pulmonary
Causes of COVIDー19 ICU delirium
Restricted Visitation
 • Family Disconnected
 • Sense of Isolation
 • Disorientation
 •
Causes of COVIDー ... 19 ICU delirium ... #ICU #delirium ... #causes #differential ... coronavirus #diagnosis #criticalcare
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
with presence of pulmonary ... & Dry) is the treatment ... #diagnosis #differential ... heartfailure #chf #criticalcare ... #icu #clinical
Peripartum Cardiomyopathy - Summary
1. Definition
 • Towards the end of pregnancy to 5 months postpartum
Differential Diagnosis ... cardiomyopathy • Pulmonary ... Avoid ARBs • ICD ... management #cardiology #treatment