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management diagnosis cardiology covid19 differential hypoxia respiratory schema chf clinical foamed heartfailure acidosis checklist coronavirus curves dcsi detroit echocardiogram emergency
Graded Oxygen Administration in COVID-19 #respiratory #support #COVID19 #management #schema #criticalcare #hypoxia #failure #algorithm #coronavirus #sarscov2 #oxygen
#respiratory #support ... COVID19 #management #schema ... #criticalcare # ... hypoxia #failure ... #algorithm #coronavirus
Shock - Differential Diagnosis Framework - MAP <65. SBP <90, drop in SBP > 40 -
Insufficiency, Liver Failure ... High SVR: • Cardiogenic ... Treatment Goals ... Differential #Diagnosis #criticalcare ... #algorithm #treatment
Severe Heart Failure & Cardiogenic Shock - Management Checklist Evaluation - EKG & echocardiography
& Cardiogenic Shock ... antiarrhythmics - Ischemic ... Revascularization, treatment ... Mechanical circulatory support ... #CHF #Shock #Cardiogenic
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM INCLUSION CRITERIA Acute Myocardial Infarction  Ischemic Symptoms  EKG and/or biomarker evidence of AMI
SHOCK INITIATIVE ... ALGORITHM INCLUSION ... Infarction  Ischemic ... LAB ACCESS & SUPPORT ... #Shock #Algorithm
Approach to Undifferentiated Shock - OnePager Summary Shock occurs when there is inadequate blood flow (CO) &
essential to determine treatment ... 4 categories: cardiogenic ... Problem (↓ CO): • CARDIOGENIC ... (PE, PHTN), LV Failure ... guyton #curves #criticalcare
Proposed Respiratory Support Algorithm in COVID19 The ‘intubate early’ paradigm, where patients who “fail” low flow oxygen
Proposed Respiratory Support ... Algorithm in COVID19 ... #criticalcare # ... hypoxia #failure ... #algorithm
COVID-19 Hypoxia Management Indication for endotracheal intubation? Tolerating supplemental oxygen? Consider HFNC Not tolerating HFNC or HFNC is not available? Consider
#respiratory #support ... COVID19 #management #schema ... #criticalcare # ... hypoxia #failure ... #algorithm #survivingsepsis
Shock - Diagnosis and Management Summary • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... Ensure adequate support ... resuscitation • Cardiogenic ... Management #Summary #criticalcare ... #treatment #workup
General schema for respiratory support in patients with COVID-19 Low flow nasal cannula • Typically set at
respiratory support ... #respiratory #support ... #criticalcare # ... hypoxia #failure ... #algorithm
Lactic Acidosis - Differential Diagnosis Framework Type A: Impaired O2 Delivery (DO2) • Decreased O2 Delivery: Hypotension
Trauma & burns, Cardiogenic ... & Septic Shock, ... Systemic liver Failure ... , Renal failure, ... Differential #Diagnosis #criticalcare
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