43 results
Hypotension - Rapid Response Management

1) Ask for vitals en route
2) Immediate Assessment
3) Examine for a cause:
Rapid Response Management ... Examine for a cause ... Diagnosis and Workup ... #criticalcare # ... Shock
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Shock - Differential ... Insufficiency, Liver ... Decompensated CHF ... Differential #Diagnosis #criticalcare ... algorithm #treatment #management
Clinical Management for Three Common Causes of Shock 
HEMORRHAGIC SHOCK
 • Ensure adequate ventilation and oxygenation.
Clinical Management ... for Three Common Causes ... for hemoglobin level ... #Shock #Management ... #CriticalCare
Massive Hemoptysis - Diagnosis and Management
 • Definitions: 
   - Hemoptysis = bleeding from
Massive hemoptysis = life ... has potential to cause ... • Workup • General ... #treatment #workup ... #pulmonary #criticalcare
Pancreatitis management checklist 
Evaluation to guide etiology & management 
 - RUQ ultrasound 
 - Calcium
Pancreatitis management ... ultrasound - Calcium level ... - Triglyceride level ... as for septic shock ... #CriticalCare
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
- Management Checklist ... Troponin, Lactate, Liver ... and/or digoxin level ... #Checklist #CHF ... HeartFailure #Cardiology #Management
Noninvasive Positive Pressure Ventilation (NIPPV)

Expiratory & Inspiratory Positive Airway Pressure
Both increase intrathoracic pressure, which can decrease
In CHF, decreases ... mortality BPAP - Bi-Level ... status • Won't Work ... #indications #criticalcare ... #management
Salicylate Toxicity - Diagnosis and Management

Consider if:
1) Patient is hot and altered
2) You see tachypnea with
Consider if: ... no respiratory cause ... Pulmonary edema, Shock ... Glucose, Salicylate level ... Toxic Salicylate Level
Acute Liver Injury - Differential Diagnosis Algorithm

Vascular Causes of Acute Liver Injury: 
 • Hepatic vein:
Algorithm Vascular Causes ... syndrome, Congestion/CHF ... Hepatic artery: Shock ... VZV • Trauma: Shock ... later - Half-life
Streptococcal Toxic Shock Syndrome (STSS)
Complication of invasive GAS disease characterized by shock & MOF → occurs
Streptococcal Toxic Shock ... characterized by shock ... GAS in 30% of cases ... (2+): kidneys, liver ... STSS #treatment #management