15 results
Bradycardia
1) First Steps: IV, O2, Monitors, ECG, Pads on patient, Crash Cart in room. Is patient
brady, Signs of Shock ... Ischemia? ... Patients DIE: Drugs, Ischemia ... #differential #management ... #cardiology
American College of Critical Care Medicine algorithm for time-sensitive, goal-directed stepwise management of hemodynamic support in
American College of Critical ... Care Medicine algorithm ... #Shock #Algorithm ... #CriticalCare # ... Peds #Pediatrics
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
INITIATIVE ALGORITHM ... Infarction  Ischemic ... Symptoms  EKG ... #Initiative #Management ... #Cardiology
Clinical Management for Three Common Causes of Shock 
HEMORRHAGIC SHOCK
 • Ensure adequate ventilation and oxygenation.
Clinical Management ... for Three Common Causes ... SHOCK • Ensure ... #Shock #Management ... #CriticalCare
Checklist Approach to Hypokalemia

Consider risk factors for arrhythmia:
 - EKG changes (especially QT prolongation)
 - Digoxin
- Myocardial ischemia ... incongruous with clinical ... NPO, or profound shock ... #Hypokalemia #Management ... #CriticalCare
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
death Common Clinical ... oliguria (< 0.5 mL/kg ... Classification #diagnosis #management ... #Overview #criticalcare ... #differential #causes
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
death Common Clinical ... oliguria (< 0.5 mL/kg ... Classification #diagnosis #management ... #Overview #criticalcare ... #differential #causes
General schema for respiratory support in patients with COVID-19
Low flow nasal cannula
 • Typically set at
volumes of ~6 cc/kg ... Internet Book of Critical ... support #COVID19 #management ... #schema #criticalcare ... hypoxia #failure #algorithm
Admitting in the ICU - Checklist
VITALS: If bad, stop and go see the patient immediately; you
esp in work-up/management ... of shock MICRO ... NOTES: The last clinic ... will also get an EKG ... diagnosis #workup #criticalcare
Perhaps quite too often, the knee-jerk reaction to an elevated Troponin is to call our friends
heart (Sepsis, Shock ... cannot, coronary ischemia ... #diagnosis #algorithm ... #management #clinical ... #criticalcare #