19 results
Intra-Aortic Thrombi on Cardiac MRI
4 intraaortic thrombi attached to the wall of the descending aorta,moving in
on Cardiac MRI ... 4 intraaortic thrombi ... synchrony with cardiac ... cycle #IntraAortic ... Aorta #CardiacMRI #Clinical
Left Main Coronary Artery Thrombus seen on Angiography

“Mother of all coronary thrombi”.  55 year old
Coronary Artery Thrombus ... in Cardiogenic shock ... Patient was in shock ... established, but died on table ... Angiogram #CathLab #clinical
Common Vasopressors and Inotropes
Norepinephrine (NE)
 - Indication: Distributive shock (1st line for septic shock), Cardiogenic shock
Tachyarrhythmias, Cardiac ... Tachyarrhythmias, Cardiac ... Tachyarrhythmias, Cardiac ... Inotropes #comparison #table ... #pharmacology #criticalcare
Shock - Differential Diagnosis Framework
MAP = CO x SVR
Hypovolemic (↓ Intravascular volume):
 • Hemorrhage, dehydration due
Shock - Differential ... → tension PTX, cardiac ... uw_IMresidency #Shock ... Differential #Diagnosis #table ... #comparison #criticalcare
Summary of Coagulation Deficiencies
Inherited:
 • Hemophilia A - Deficiency of Factor VIII
 • Hemophilia B -
of Factor IX Acquired ... inhibitors, direct thrombin ... Acute DIC - Septic shock ... Deficiencies #Summary #table
American College of Critical Care Medicine algorithm for time-sensitive, goal-directed stepwise management of hemodynamic support in
American College of Critical ... to next step if shock ... lesions), and cardiac ... #Shock #Algorithm ... #CriticalCare #
Clinical Management for Three Common Causes of Shock 
HEMORRHAGIC SHOCK
 • Ensure adequate ventilation and oxygenation.
Clinical Management ... Common Causes of Shock ... HEMORRHAGIC SHOCK ... • Consider intraaortic ... #CriticalCare
Approach to Undifferentiated Shock - OnePager Summary
Shock occurs when there is inadequate blood flow (CO) &
Undifferentiated Shock ... Pneumothorax, Cardiac ... Obstruction (HOCM, critical ... pancreatitis, post-cardiac ... guyton #curves #criticalcare
Pulmonary Embolism - Risk Stratification and Prognostication based on scores and clinical features

 • Bova score
on scores and clinical ... Hemodynamics (Stable ... Transient Hypotension, Shock ... stratification #criticalcare
Mobile Aortic Thrombi - Gated aortic magnetic resonance imaging revealed four intraaortic thrombi (arrows) attached to
Mobile Aortic Thrombi ... revealed four intraaortic ... thrombi (arrows ... synchrony with the cardiac ... cycle #Clinical