13 results
COVID-19 Hypoxia Management

Indication for endotracheal intubation?
Tolerating supplemental oxygen?
Consider HFNC
Not tolerating HFNC or HFNC is not available?
Consider
COVID-19 Hypoxia ... Management Indication ... respiratory #support #COVID19 ... #management #schema ... #criticalcare #
ISCHEMIA Trial - Management Algorithm for patients with Stable Angina

Stress Test -> ? +moderate or severe
ISCHEMIA Trial - ... moderate or severe ischemia ... unfamiliar with the ISCHEMIA ... on results of ISCHEMIA ... /alenghat/ #ISCHEMIA
Proposed Respiratory Support Algorithm in COVID19

The ‘intubate early’ paradigm, where patients who “fail” low flow oxygen
Support Algorithm in COVID19 ... patients with COVID ... us believe that intubation ... #management #schema ... #criticalcare #
Atrial Fibrillation Overview

Symptoms:
Palpitations, light-headedness, dizziness, dyspnea, exercise intolerance, chest pain, near-syncope, syncope.

1. Why?
Cardiac:
• Valvular heart disease
•
Decompensated HF ... • New ischemia ... #Fibrillation #Cardiology ... #Management #Algorithm
Heart Failure with Preserved Ejection Fraction: Management Principles

General Therapeutic Principles:
Reduce the congestive state 
 - Caution
Ejection Fraction: Management ... prevent myocardial ischemia ... - May mimic HF ... ineffective) #Management ... #Cardiology #HFpEF
Bradycardia
1) First Steps: IV, O2, Monitors, ECG, Pads on patient, Crash Cart in room. Is patient
AMS, SOB from CHF ... Ischemia? ... Patients DIE: Drugs, Ischemia ... #differential #management ... #cardiology
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Lytes including Ca ... Consider BiPAP (vS intubation ... antiarrhythmics - Ischemic ... #Checklist #CHF ... #HeartFailure #Cardiology
Hyperkalemia - Diagnosis and Management - GrepMed Handbook

S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
Diagnosis and Management ... /crush injury, ischemia ... Na delivery): CHF ... Calcium 2-3g IV Ca-gluconate ... ileus/obstruction (ischemia
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
history of: a) Ischemic ... disease b) CHF ... c) CVA 4. ... one post op Cardiology ... • <6mo since stroke
Cryofibrinogenemia Summary

Cryofibrinogenemia Epidemiology:
 • 40-70 years with a modest female predominance

Cryofibrinogenemia:
 • The precipitation of a
disease 2019 (COVID ... Related conditions: Stroke ... limb and bowel ischemia ... Asymptomatic: Plasma (CF ... • Secondary CF